FREQUENCY OF ADENOMYOSIS IN GYNECOLOGICAL HYSTERECTOMY SPECIMENS
Main Article Content
Keywords
Adenomyosis; hysterectomy; frequency; gynecological pathology
Abstract
Background : Adenomyosis is a benign uterine condition characterized by endometrial glands and stroma within the myometrium, leading to menorrhagia, dysmenorrhea, and uterine enlargement. It is a frequent histopathological finding in hysterectomy specimens, often underdiagnosed clinically due to overlapping symptoms with fibroids and other benign gynecological disorders, especially in Perimenopausal women.
Objectives : To determine the frequency of adenomyosis in gynecological hysterectomy specimens and to assess its association with age, parity, and clinical symptoms in patients undergoing hysterectomy for benign conditions.
Methodology : Thia cross-sectional study was conducted at Gynae and obstetrics Khalifa gul Nawaz teaching hospital Bannu from January 2024 to January 2025. A total of 150 hysterectomy specimens were examined histopathologically. Demographic data, parity, and presenting symptoms were recorded. Statistical analysis was performed using SPSS version 24.0. Frequencies, percentages, mean ± standard deviation, and p-values were calculated, with significance set at p < 0.05.
Results : Among 150 hysterectomy specimens, adenomyosis was identified in 56 cases (37.3%). The mean age of affected women was 44.6 ± 5.8 years. Most cases (64.2%) were in the 41–50-year age group, and multiparty was observed in 82% (p = 0.021). The most common clinical presentations were menorrhagia (57%), dysmenorrhea (41%), and pelvic pain (28%). Coexisting uterine fibroids were found in 25% of adenomyosis cases. A significant correlation was noted between parity and adenomyosis frequency (p < 0.05).
Conclusion: Adenomyosis is a common histopathological finding in hysterectomy specimens, primarily affecting multiparous women aged 41–50 years. The condition frequently presents with menorrhagia and pelvic pain and often coexists with leiomyoma’s. Early diagnosis through clinical evaluation and imaging may reduce unnecessary hysterectomies and support timely, conservative management of symptomatic patients before surgical intervention.
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Saira Aslam
Consultant Gynae and obstetrics Khalifa gul Nawaz teaching hospital Bannu
Saima Mehmood
Woman medical officer Khalifa Gul Nawaz teaching hospital MTI bannu.
Neelam Nazir
WMO Khalifa Gul Nawaz teaching hospital MTI bannu
