Association of the presence of adenomyosis and clinical characteristics in post-hysterectomy patients

Introduction:It has been estimated that the prevalence of adenomyosis is 5-70% in Mexico.For the correct study of adenomyosis, the histopathological study of the hysterectomy specimen remains the only confirmatory diagnosis.For this reason, there are not many current studies that tell us the prevalence of this pathology, which is why it is important to carry out intentional searches.Objective: To estimate the prevalence of adenomyosis in patients undergoing total and subtotal hysterectomy, abdominal, laparoscopic, and vaginal hysterectomy in the period from 2019 to 2021 in Ciudad Jurez and to determine whether there are clinical factors associated with the presence of adenomyosis.Material and methods: Cross-sectional, retrospective, descriptive study.This study was conducted in patients who underwent total and subtotal abdominal, laparoscopic, and vaginal hysterectomy, whose histopathological reports were collected from January 2019 to December 2021.Patients with a subtotal hysterectomy were excluded.Results: A total of 332 patients were studied, in which a prevalence of 29.5% was observed, like that established in the general bibliography.Conclusions: Adenomyosis is the second gynecological pathology in order of frequency, only below leiomyomatosis, by histopathological diagnosis.According to the study, the clinical profile of patients to be ruled out for adenomyosis would be a history of previous uterine surgery, multiparity, in the fifth decade of life (specifically between 40 and 50 years of age), overweight, or obese.