Adenomyosis : Frequency of hysterectomy in histopathological specimens at two Jordanian military hospitals

Abstract EN

Objective : this study was conducted to identify the frequency, clinical symptoms and risk-factors of adenomyosis in hysterectomy specimens in a sample of Jordanian women.

Methods : A total of 138 hysterectomy specimen pathology reports were reviewed at Queen Alia Military Hospital and Prince Hashem Bin Al-Hussein Hospital during the period between January 2007 to December 2008.

The patients were divided according to the histological diagnosis and this was related to demographic and clinical data collected from the records of these women.

Results : adenomyosis was identified in 51 women (37 % of cases).

Forty-eight of these women (94 %) were in their forties (P > 0.05), while 49 (96 %) were multiparas (P < 0.05).

Dysmenorrhoea, chronic pelvic pain and dyspareunia were statistically significant while menorrhagia wasn’t.

The histological diagnosis of fibroid uterus, in addition to adenomyosis was made in 22 women (P > 0.05).

The mean age at hysterectomy was 47.3 years in women with adenomyosis and 51.4 years in women without the condition (P < 0.05).

In the adenomyosis group, parity proved to have statistical significance while age, body mass index and smoking status weren’t.

Conclusion : adenomyosis is a common finding in hysterectomy specimens.

It is more common in multiparous women with dysmenorrhoea, chronic pelvic pain and dyspareunia.