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Updated: Jul 9, 2026
11:29
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
[Adenomyosis at hysterectomy]
Sonia Ben Hamouda1, Nadia Ouerdiane, Héla Ben Zina
1Service de Gynécologie Obstétrique B. Hôpital Charles Nicolle, Tunis.
La Tunisie Medicale
|December 11, 2007
Summary
Adenomyosis affects 15% of women, with multiparity being a key risk factor. While hysterectomy is standard, conservative treatments exist for women desiring pregnancy.
Area of Science:
- Gynecologic pathology
- Reproductive medicine
Context:
- Adenomyosis is a common gynecologic condition affecting women in their fifth decade.
- It frequently causes abnormal uterine bleeding and pelvic pain.
- Diagnosis can be challenging, especially with co-existing gynecologic pathologies.
Purpose:
- To determine the frequency, epidemiologic profile, clinical signs, and diagnostic and therapeutic approaches for adenomyosis.
- To report on the prevalence of adenomyosis in women undergoing hysterectomy for benign conditions.
Summary:
- A retrospective study analyzed 52 cases of adenomyosis from 336 hysterectomies for benign pathologies.
- The prevalence of adenomyosis was found to be 15%.
- Multiparity was identified as the primary risk factor, present in 90% of affected women.
Impact:
- Transvaginal sonography and MRI aid in preoperative diagnosis.
- Conservative treatments are available for women with adenomyosis who wish to conceive.
- Hysterectomy remains the definitive treatment for adenomyosis.
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