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A total of 212 patients coming for removal of the uterus due to a benign condition were interviewed by the first author before operation. Of these patients 28 had adenomyosis, while 157 had neither adenomyosis nor external endometriosis; these two groups were compared with respect to duration of menstrual bleeding, dysmenorrhea, dyspareunia, urinary symptoms and sacral and lower abdominal pain. There were no inter-group differences in the frequencies of these symptoms. It is concluded that although patients with adenomyosis have many symptoms, none specific to adenomyosis can be found.
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Kilkku et al. (1984) studied this question.
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