TY - JOUR
T1 - Clinical characteristics indicating adenomyosis coexisting with leiomyomas
T2 - A retrospective, questionnaire-based study
AU - Brucker, Sara Y.
AU - Huebner, Markus
AU - Wallwiener, Markus
AU - Stewart, Elizabeth A.
AU - Ebersoll, Sandra
AU - Schoenfisch, Birgitt
AU - Taran, Florin A.
PY - 2014/1
Y1 - 2014/1
N2 - Objective To elucidate the clinical profile of a concomitant diagnosis of adenomyosis in women with leiomyomas. Design Retrospective questionnaire-based study. Setting Academic medical center. Patient(s) The study sample comprised a total of 560 women: 159 women with adenomyosis and leiomyomas and 401 women with leiomyomas alone. Intervention(s) Mailing of a symptom questionnaire. Main Outcome Measure(s) Comparison of women undergoing hysterectomy with adenomyosis and leiomyomas and women with leiomyomas alone. Result(s) Women with a concomitant diagnosis of adenomyosis and leiomyomas had significantly higher scores for disease burden during the menstrual period before surgery: heavy bleeding episodes and passing blood clots. Furthermore, women with adenomyosis and leiomyomas reported higher scores of distress regarding pelvic pain occurring during the menstrual period and pelvic pain not associated with the menstrual cycle. Moreover, in multivariate analysis, older age (odds ratio [OR] 1.10, 95% confidence interval [CI] 1.04-1.18), gravidity (OR 1.44, 95% CI 1.12-1.74), and pelvic pain occurring during the menstrual period (OR 1.27, 95% CI 1.06-1.54) increase the odds of having adenomyosis and not only leiomyomas. Conclusion(s) Adenomyosis contributes to symptomatology in women with concomitant adenomyosis and leiomyomas.
AB - Objective To elucidate the clinical profile of a concomitant diagnosis of adenomyosis in women with leiomyomas. Design Retrospective questionnaire-based study. Setting Academic medical center. Patient(s) The study sample comprised a total of 560 women: 159 women with adenomyosis and leiomyomas and 401 women with leiomyomas alone. Intervention(s) Mailing of a symptom questionnaire. Main Outcome Measure(s) Comparison of women undergoing hysterectomy with adenomyosis and leiomyomas and women with leiomyomas alone. Result(s) Women with a concomitant diagnosis of adenomyosis and leiomyomas had significantly higher scores for disease burden during the menstrual period before surgery: heavy bleeding episodes and passing blood clots. Furthermore, women with adenomyosis and leiomyomas reported higher scores of distress regarding pelvic pain occurring during the menstrual period and pelvic pain not associated with the menstrual cycle. Moreover, in multivariate analysis, older age (odds ratio [OR] 1.10, 95% confidence interval [CI] 1.04-1.18), gravidity (OR 1.44, 95% CI 1.12-1.74), and pelvic pain occurring during the menstrual period (OR 1.27, 95% CI 1.06-1.54) increase the odds of having adenomyosis and not only leiomyomas. Conclusion(s) Adenomyosis contributes to symptomatology in women with concomitant adenomyosis and leiomyomas.
KW - Adenomyosis
KW - symptom questionnaire
KW - uterine leiomyomas
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U2 - 10.1016/j.fertnstert.2013.09.038
DO - 10.1016/j.fertnstert.2013.09.038
M3 - Article
C2 - 24188881
AN - SCOPUS:84891559196
SN - 0015-0282
VL - 101
SP - 237-241.e1
JO - Fertility and sterility
JF - Fertility and sterility
IS - 1
ER -