Clinical and anamnestic aspects of adenomyosis

The article presents the results of clinical and statistical analysis and identifies relevant aspects of adenomyosis in women of reproductive age.The objective: to study the clinical and statistical analysis of women of reproductive age with adenomyosis and its impact on the development of the disease.Materials and methods. A clinical and statistical analysis was conducted on 90 women of reproductive age with adenomyosis (main group) and 30 gynecologically healthy women of reproductive age (control group). A numerical rating scale was used to determine the intensity of pain.Results. The conducted clinical and statistical analysis of the examined groups allowed to determine possible predictors of adenomyosis in women of reproductive age. 88.9% of women have a burdened heredity. Concomitant extragenital pathology: respiratory system diseases were found in 46.7% of women, gastrointestinal tract diseases – in 42.2%. Patients of the main group had menstrual cycle disorders (100%) and decreased generative and sexual function (dyspareunia 65.5%). Burdened gynecological history included: inflammatory processes of the uterus and appendages – 52.2% of cases, pathology of the cervix – 46.7%, ovarian cysts – 15.6%; artificial abortions – 77.8%, spontaneous abortion – 20.0%, ectopic pregnancy – 8.9%. Intrauterine surgical interventions were performed: curettage of the uterine cavity – in 17.8% of women, hysteroresectoscopy – 21.1%, pathological childbirth (manual revision of the uterine walls, obstetric forceps, maternal birth trauma) – 25.6%, uterine surgery (cesarean section, suturing of the perforated hole) – 30%, appendage surgery – in 18.9%, cervical surgery – in 35.6%.Conclusions. Severe gynecological heredity, extragenital pathology, impaired immune mechanisms, hormonal imbalance, inflammatory diseases of the female genital organs, abortions, pathological childbirth, and intrauterine surgeries create a favorable background for the development and progression of adenomyosis.