Comparison of Patients with Adenomyosis Detected in Hysterectomy Material and Patients with Other Benign Pathologies: Retrospective Study

Ufuk Atlıhan, Begüm Ertan, Eyüp ÖZGÖZEN, Mehmet Güney
In: Türk Üreme Tıbbı ve Cerrahisi Dergisi · 2024 · vol. 8(2) , pp. 54–62 · doi:10.24074/tjrms.2023-100472 · W4400833362
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This retrospective study compared adenomyosis patients with other benign pathologies, finding correlations between adenomyosis and smoking status, Mirena use, parity, age at first pregnancy, D&C, dysmenorrhea, menstrual intensity, dyspareunia, intermenstrual pain, and delivery type.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This retrospective study analyzed 352 women who underwent hysterectomy for benign gynecologic reasons between January 2019 and November 2022, comparing risk factors among those with adenomyosis detected on postoperative histopathology versus those with other benign pathologies. Smoking, use of Mirena®, number of parities, age at first pregnancy, history of dilation and curettage, and several pain-related and menstrual characteristics (including dysmenorrhea, dyspareunia, intermenstrual pelvic pain, and menstrual intensity) were significantly associated with adenomyosis (p<0.05), with higher observed proportions in specific subgroups such as non-smokers and certain age ranges. The paper’s main caveat is that it is retrospective and based on associations rather than prospective causal testing, and it relies on hysterectomy specimens from a single center. This paper is centrally about adenomyosis — it compares risk factors for adenomyosis in hysterectomy patients and relates them to associated gynecologic symptoms.

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Abstract

Objective: Analysis of the risk factors of adenomyosis may be useful in evaluating the effects of etiologic factors.The aim of our research is to compare the risk factors of individuals who were operated on for benign gynecological reasons, patients with Adenomyosis detected in the hysterectomy material, and patients with other benign pathologies.Material and Methods: To make an analysis on the role of risk variables for adenomyosis, we retrospectively evaluated theidata of 352 women who had hysterectomy iniour hospital at the interval of January 2019 -November 2022.All cases were diagnosed according to postoperative histopathologic examination.Results: Smoking, Mirena ® , number of parities, age at first pregnancy, presence of dilation and curettage, dysmenorrhea, menstrual intensity, dyspareunia, intermenstrual pelvic pain, and delivery type were substantially correlated with adenomyosis (p<0.05).Accordingly, the existence of adenomyosis was proportionally higher in non-smokers, 14).Accordingly, the existence of adenomyosis was observed to be proportionally higher in females with dysmenorrhea, dyspareunia, and cesarean section.Accordingly, the existence of adenomyosis was shown to be proportionally higher in females with Mirena ® .Conclusion: Because of its symptoms, adenomyosis has a detrimental effect on a sizeable portion of patients' quality of life.Further research in this area is required, as evidenced by the high prevalence of adenomyosis seen following hysterectomy procedures carried out as a result of these symptoms.
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Abstract

Objective Analysis of the risk factors of adenomyosis may be useful in evaluating the effects of etiologic factors. The aim of our research is to compare the risk factors of individuals who were operated on for benign gynecological reasons, patients with Adenomyosis detected in the hysterectomy material, and patients with other benign pathologies.

Material and methods

To make an analysis on the role of risk variables for adenomyosis, we retrospectively evaluated theidata of 352 women who had hysterectomy iniour hospital at the interval of January 2019 - November 2022. All cases were diagnosed according to postoperative histopathologic examination.

Results

Smoking, Mirena®, number of parities, age at first pregnancy, presence of dilation and curettage, dysmenorrhea, menstrual intensity, dyspareunia, intermenstrual pelvic pain, and delivery type were substantially correlated with adenomyosis (p<0.05). Accordingly, the existence of adenomyosis was proportionally higher in non-smokers, 14). Accordingly, the existence of adenomyosis was observed to be proportionally higher in females with dysmenorrhea, dyspareunia, and cesarean section. Accordingly, the existence of adenomyosis was shown to be proportionally higher in females with Mirena®.

Conclusion

Because of its symptoms, adenomyosis has a detrimental effect on a sizeable portion of patients' quality of life. Further research in this area is required, as evidenced by the high prevalence of adenomyosis seen following hysterectomy procedures carried out as a result of these symptoms.

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Condition tags

adenomyosisdysmenorrheadyspareunia

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