Prevalence of adenomyosis as a co-morbidity in patients who underwent hysterectomy for other indications
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 1
Abstract
Introduction: Adenomyosis is a common gynaecological condition that affects women of reproductive age group (20%-60%). The cardinal clinical features of adenomyosis are menorrhagia, dysmenorrhea and uterine enlargement. Classically, it was thought and compared with ultrasonography; MRI enables more accurate diagnosis of the disease when adenomyosis is suspected. Objective: To evaluate the clinical profile associated with adenomyosis, frequency distribution and to determine the prevalence of adenomyosis in patients undergoing hysterectomy for other indications, as well as to correlate clinical examination with histopathological examination. Methodology: It is a retrospective observational study which included 100 patients who underwent abdominal hysterectomy or vaginal hysterectomy for various indications. Age, parity, presenting complaints, elicited signs, indication for hysterectomy, and HPE report of the specimens were analyzed. All cases diagnosed as Adenomyosis and Endometriosis was excluded. Results: Among 100 women who underwent hysterectomy, Adenomyosis was found in 24 cases (24%). Menorrhagia (91.7%), chronic pelvic pain (83.3%), dysmenorrhea (79.2%), dyspareunia (16.7%) is the classic presentation. More common in multiparous women and begins later in reproductive life (mean age- 45yrs). (45.8%) had bulky uterus on per vaginal examination. Adenomyosis was present in 10 of 23 patients (43.47%) diagnosed as dysfunctional uterine bleeding; 6 of 24 (25%) with fibroid; 4 of 21 (19.04%) with prolapse; 2 of 14 (14.28%) with ovarian mass; 2 of 10 (20%) with pelvic inflammatory disease. Conclusion: The prevalence of unsuspected adenomyosis is found to be 24% in this study. Adenomyosis is common in women presenting with chronic pelvic pain, menorrhagia and dysmenorrhea. It is also common in multiparous women with bulky uterus and mean age being 45 years. In women with completed family and had failed medical therapy given for undiagnosed Adenomyosis the choice of therapy is hysterectomy.
Authors and Affiliations
Ratna Bulusu, Payel Ray, Abhilasha N Kumar, Sanghamitra S
Keywords
Related Articles
- EP ID EP474818
- DOI 10.18231/2394-2754.2018.0031
- Views 110
- Downloads 0
Management of uterine leiomyoma with mifepristone and its outcome in South Indian population
Introduction Uterine Fibroids are common growth of female reproductive tract in women of reproductive age group So this prospective observational study was conducted to evaluate the effect of low dose Mifepristone treatm...
Minimizing bleeding in laparotomic myomectomy: A comparative study
Objective: To compare the effectiveness of pericervical tourniquet versus intra-myometrial injection of epinephrine in reducing blood loss in abdominal myomectomy. Study Design: A prospective analysis, over 1 year. Setti...
Ferric Carboxymaltose Injection in Postpartum Iron Deficiency Anemia: Results from the prescription-event monitoring study
Introduction: Ferric Carboxymaltose (FCM), a dextran free iron formulation can be administered in large doses without the risk of severe anaphylactic reactions in postpartum anemia (PPA). Evidence suggest that FCM is hig...
Comparative study of P53 expression between inflammatory and mild dysplasia of cervical epithelium
Introduction: Cervical cancer is the most common cancer among females in the developing countries. HPV virus plays vital role in cervical carcinogenesis. p53 inactivation plays a key role in etiology of cervical cancer....
Analysis of current trends in caesarean section in a tertiary care hospital
In the background of increasing rates of caesarean sections, this study was done to find the current trends of the surgery. Aim: To study 500 consecutive caesarean sections in a tertiary referral maternity hospital in So...