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BRIEF ABSTRACT

Journal Name: Fertility & Sterility; Volume 90, Issue 2


Title: Adenomyosis and endometriosis in the California Teachers Study


Authors: Templeman C, Marshall SF, Ursin G, Horn-Ross PL, Clarke CA, Allen M, Deapen D, Ziogas A, Reynolds P, Cress R, Anton-Culver H, West D, Ross RK, Bernstein L. contact: clairetempleman@earthlink.net

Abstract:

Objective

To evaluate the reproductive and lifestyle correlates of a surgically confirmed diagnosis of endometriosis or adenomyosis in a large prospective cohort.

Design

Collection of surgical diagnoses of endometriosis and adenomyosis during follow-up of women with no prior history of endometriosis and no prior surgery for adenomyosis.

Result(s)

Women surgically diagnosed with endometriosis were younger than those surgically diagnosed with adenomyosis. Factors statistically significantly associated with endometriosis were having a mother or sister with endometriosis and nulligravidity. Factors statistically significantly associated with adenomyosis were increasing parity, early menarche (≤10 years of age), and short menstrual cycles (≤24 days in length). Obese women also were more likely to have a surgical diagnosis of adenomyosis.


Conclusion(s)

These observations provide the first epidemiologic profile of women with a surgical diagnosis of adenomyosis and indicate that this profile differs from that of women with a surgical diagnosis of endometriosis. Our results also suggest that adenomyosis but not endometriosis is associated with increased endogenous exposure to estrogen.

For more information via the journal's Website: CLICK HERE.

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