Cited by 322Endometriosis Research and TreatmentUterine Myomas and TreatmentsGynecological conditions and treatments

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Adenomyosis, epidemiological factors

Vercellini, Paolo, Viganò, Paola, Somigliana, Edgar, Daguati, Raffaella, Abbiati, Annalisa, Fedele, Luigi·2006·Best Practice & Research Clinical Obstetrics & Gynaecology

DOI 10.1016/j.bpobgyn.2006.01.017

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Abstract

Epidemiological studies of adenomyosis are difficult to interpret because the diagnostic criteria vary so widely that the disease may be easily over-diagnosed. This would severely hamper any attempt to define incidence and prevalence of the condition and the related risk factors, and would limit the possibility of clarifying to what extent adenomyosis contributes to clinical symptoms. There is a need for stringent and widely accepted diagnostic criteria in order to define not only the presence of adenomyosis but also depth of penetration and degree of spread of foci. Moreover, the evidence available on epidemiological characteristics of women with adenomyosis is greatly biased by the type of population studied, i.e. women undergoing hysterectomy. Therefore, a consensus on non-surgical diagnostic criteria at transvaginal ultrasonography and MRI is indispensable and urgently needed in order to be able to conduct epidemiological studies in women younger than those evaluated until now.

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Authors: Vercellini, P., Viganò, P., Somigliana, E., Daguati, R., Abbiati, A., & Fedele, L.
Affiliations: University of Milan (IT)
Corresponding author: Vercellini, Paolo
ORCID: Vercellini, Paolo
Viganò, Paola
Fedele, Luigi
Venue: Best Practice & Research Clinical Obstetrics & Gynaecology
Publisher: Elsevier BV
Published: 2006-08
Volume: 20
Issue: 4
Pages: 465-477
ISSN: 1521-6934 (ISSN-L)
DOI: 10.1016/j.bpobgyn.2006.01.017
OpenAlex: W2102917784
Cited by: 319
References: 48
Citations by year: 2026: 20 · 2025: 17 · 2024: 20 · 2023: 28 · 2022: 29 · 2021: 27 · 2020: 24 · 2019: 16 · 2018: 19 · 2017: 13 · 2016: 16 · 2015: 17 · 2014: 16 · 2013: 11 · 2012: 14
FWCI: 0.86
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Best Practice & Research Clinical Obstetrics & Gynaecology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
Keywords: adenomyosis, epidemiological risk factors, incidence and prevalence, diagnostic criteria, overdiagnosis, hysterectomy, transvaginal ultrasound, magnetic resonance imaging, penetration depth, women of reproductive age
MeSH terms: Endometrial Hyperplasia, Endometriosis, Female, Humans, Infertility, Menstruation Disturbances, Myometrium, Reproduction, Risk Factors, Gynecologic Surgical Procedures, Obstetric Surgical Procedures, Uterine Diseases, Prevalence, Endometrial Neoplasms

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