FREQUENCY OF ADENOMYOSIS ON TRANSVAGINAL ULTRASOUND IN MARRIED WOMEN
Maryam Siddiqui, Hafiza Vania Atta, Rukhsar Majeed, Bisma Amjad, Munazza Younus, Fahmida Ansari, Anjum Tazeen, Muhammad Yousaf Farooq
ABSTRACT
Background: Adenomyosis is a gynecological disorder in which an abnormal amount of endometrial tissue is present within the myometrium.This disorder is usually present between 35 to 50 years of age, but younger women can also be affected. Some symptoms of adenomyosis are heavy menses, painful menses or both. Some other symptoms include pain, chronic pelvic pain during sexual intercourse or irritation in the urinary bladder. Objective: A study was performed to determine the frequency of adenomyosis on transvaginal ultrasound in married women. There are several methods that can be used to diagnose adenomyosis such as transvaginal ultrasound, biopsy and MRI. Transvaginal ultrasound examination was used in this study to find the ultrasonic feature related to adenomyosis. Methodology: A cross-sectional study was performed in Lahore General Hospital. 75 women were selected for the study and were assessed for adenomyosis. Results: Results showed that transvaginal US had a sensitivity of 83%, a specificity of 86%, and a positive and negative predictive value of 67% and 94.1%, respectively. Results confirmed that transvaginal ultrasound is a specific and sensitive method for the diagnosis of adenomyosis. Conclusion: The study concluded that adenomyosis is a common disorder is married women and transvaginal ultrasound is most sensitive, specific and accurate methods and is used all over the world including Pakistan
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