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J Am Assoc Gynecol Laparosc. 1994 Aug;1(4, Part 2):S6.

Adenomyosis as a Major Cause for Laparoscopic-Assisted Vaginal Hysterectomy for Chronic Pelvic Pain

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Women's Health Center of South Orange County, 26732 Crown Valley Pkwy., Suite 541, Mission Viejo, CA 92691.


Ninety-three women in whom conservative surgical therapy for chronic pelvic pain failed required hysterectomy for control of their disabling condition. In 22 of these 93 patients (24%), adenomyosis was the major pathologic finding. In 10 of the 22 (45%) women who had adenomyosis and required hysterectomy for control of their pain, tubal ligation had been previously performed. Only 15% (11/71) of patients without adenomyosis had had a tubal ligation. Over 23% of patients requiring hysterectomy for control of chronic severe pelvic pain had adenomyosis, and almost half of these women had had a tubal ligation performed. The possible relationship of adenomyosis to a previous tubal ligation has been explored.


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