Surgery: Adenomyosis at hysterectomy: a study on frequency distribution and patient characteristics
Abstract
To evaluate the prevalence and risk factors for adenomyosis, the clinical records of consecutive women undergoing hysterectomy during a 3 year period were retrieved. Data were collected on indication for the intervention, general sociodemographic characteristics of the patients, age at menarche, parity, abortions, and menopausal status at surgery. Adenomyosis was diagnosed in 332 of the 1334 cases (24.9%). The condition was present in 146 of the 627 patients (23.3%) with fibroids and menorrhagia, 68 of the 265 (25.7%) with prolapse, 21 of the 98 (21.4%) with ovarian cysts, 19 of the 100 (19%) with cervical cancer, 31 of the 110 (28.2%) with endometrial cancer, 16 of the 57 (28.1%) with ovarian cancer, and 19 of the 77 (24.7%) with miscellaneous indications. These differences were not statistically significant (chi 2(6) = 11.14). In comparison with nulliparous women, the odds ratio was 1.3 and 1.5 respectively in women with one and > or = two births (chi 2(1) trend = 5.76 P < 0.05). No relationship was found between age at surgery, age at menarche, indications for surgery, menopausal status at intervention, and presence of endometriosis. Our findings do not support the notion that adenomyosis is more frequently related to particular clinical conditions, and suggest that parity may be associated with an increased frequency of adenomyosis.
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Histologically proven adenomyosis at hysterectomy has been linked to multiparity.
“The primary observation regarding the prevalence of adenomyosis and fecundity has linked histologically proven adenomyosis at the time of hysterectomies to multiparity (34,35).”
From Endometrial receptivity in adenomyosis and/or endometriosis (2023) · cites this paper as [35]
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“proportion of concomitant adenomyosis in hysterectomy specimens of women with leiomyomas ranges from 15 to 57 % [4, 11–13].”
BackgroundL’adénomyose : le point sur une pathologie méconnue
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- Authors
- Vercellini, P., Parazzini, F., Oldani, S., Panazza, S., Bramante, T., & Crosignani, P. G.
- Affiliations
- University of Milan (IT)
- Venue
- Human Reproduction
- Publisher
- Oxford University Press (OUP)
- Published
- 1995-05
- Volume
- 10
- Issue
- 5
- Pages
- 1160-1162
- ISSN
- 0268-1161 (ISSN-L)
- 1460-2350
- OpenAlex
- W1904515219
- Cited by
- 175
- References
- 0
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 15 · 2023: 7 · 2022: 8 · 2021: 15 · 2020: 10 · 2019: 9 · 2018: 10 · 2017: 5 · 2016: 8 · 2015: 10 · 2014: 6 · 2013: 4 · 2012: 8
- FWCI
- 3.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Human Reproduction (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, hysterectomy, prevalence, risk factors, parity, nulliparity, endometriosis, uterine fibroids, menorrhagia, pelvic organ prolapse, ovarian cysts, cervical cancer, endometrial cancer, ovarian cancer, age at menarche, menopausal status
- MeSH terms
- Adult, Age Factors, Aged, Aged, 80 and over, Endometriosis, Female, Humans, Hysterectomy, Italy, Middle Aged, Parity, Risk Factors, Uterine Diseases
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