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Determinants of adenomyosis in women who underwent hysterectomy for benign gynecological conditions: results from a prospective multicentric study in Italy
- Publication Year :
- 2009
-
Abstract
- Objective We conducted a cross-sectional study on the frequency and risk factors for adenomyosis in women who underwent hysterectomy for benign gynecological conditions. Study design All women who consecutively underwent hysterectomy during the study period for benign gynecological conditions at 18 gynecological departments were eligible for the study. A total of 820 women entered the study. Pathological data were collected prospectically. Results Adenomyosis was identified in 231 women (28.2%, 95% confidence interval, CI, 24.6–32.5). The frequency of adenomyosis was similar in women with indication for surgery fibroids/menorrhagia (143 cases, 28.5%) or genital prolapse (69 cases, 28.2%). The rate ratio (RR) of adenomyosis was 1.9 (95% CI 1.2–2.8) in women reporting one or more induced abortions, in comparison with those reporting no induced abortion. Women with adenomyosis reported more frequently dysmenorrhoea and chronic pelvic pain, but not dyspareunia. Conclusions This study shows that adenomyosis is common in women who undergo hysterectomy and that it is more frequent among women reporting induced abortions dysmenorrhoea and chronic pelvic pain.
- Subjects :
- endometriosis
medicine.medical_specialty
Cross-sectional study
Epidemiology
medicine.medical_treatment
prevalence
Endometriosis
cross-sectional studies
Abortion
Rate ratio
dysmenorrhea
Adenomyosis
Risk factor
menorrhagia
middle aged
italy
leiomyoma
medicine
80 and over
risk factors
hysterectomy
Prospective cohort study
humans
Aged, 80 and over
female
pelvic pain
prospective studies
uterine prolapse
aged
adult
Gynecology
Hysterectomy
Obstetrics
business.industry
Pelvic pain
Obstetrics and Gynecology
medicine.disease
Reproductive Medicine
Settore MED/40 - Ginecologia e Ostetricia
medicine.symptom
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....ac3c3f30977b93ea30fa2d8b95520781