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UTERINE ADENOMYOSIS AND INFERTILITY IN WOMENS: A STUDY CARRIED OUT A MAYO HOSPITAL LAHORE

Dr. Nasrullah Zeeshan, Dr. Aroosa Khalid, Dr. Muhammad Salman Akhtar

Objectives: The aim of this study is to conclude the demographic design and clinical performance of 23 barren ladies along with intraoperative analysis of adenomyosis and after that histopathologic authentication. Methodology: An evaluation of 23 sequential barren women who experienced surgical procedure because of before operation wrong judgment for uterine fibroids in a 5 years’ timeframe. Results: The age range of the patients was 26 to 47 years (mean 37.3). Out of 23 patients, 21.7% (5) patients had a past history of delivery and 78.3% (18) patients were underwent through abortion(s) in the past. Primary sterility found in 21.7% and secondary in 78.3%. Past history of (i) antenatal processes comprising of dilatation and curettage in 73.9% (17) patients, (ii) myomectomy in 21.7% (5) patients and (iii) adhesiolysis in 13.1% (3) patients. Pre-surgery hysterosalpingogram with consensual tubal patency indicated 8.7% (2) patients and 73.9% (17) patients had mutual tubal blockage. Perceived the fallopian tube’s individual patency in 17.4% (4) patients. Cornual blockages were bump into 88.2% (15) patients amongst the 17 bilateral tubal blockage patients. The clinical presentation modes were having 100% abdominopelvic mass, 82.6% dymenorrhoea, 60.9% menorrhagia, 47.8% dyspareunia and in 34.8% cases were metrorrhagia. Intraoperatively adenomyosis confronted were include 56.5% (13) patients with diffuse adenomyosis, 30.4% (7) patients with multiple focal adenomyosis and 13.1% (3) patients with unifocal adenomyosis. Out of 23 patients, co-existing uterine fibroid were coming across in 73.9% (17) patients and coexisting endometriosis in 8.7% (2) patients. Momentous pelvic linkage was encounter in to 30.4% (7) patients at surgery. Conclusion: Adenomyosis is expressively link along proximal tubal occlusion in barren women and wants to subsist with irrelevant uterine fibroids. Key Words: Anticipated Pathophysiologic, Endometriosis, Adenomyosis, Proximal Tubal, Dymenorrhoea, Immunologic.

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