Risk factors for adenomyosis.

of risk of adenomyosis may be useful in suggesting an aetiological hypothesis for adenomyosis, a condition potentially In order to analyse risk factors for adenomyosis, 707 associated with pelvic pain and subfertility. consecutive women who underwent hysterectomy between January 1993 and June 1994 at the Clinica Luigi Mangiagalli, Milan, Italy, were interviewed before Materials and methods surgery by trained physicians. Information on the All women who consecutively underwent hysterectomy between presence of adenomyosis was obtained from pathologic January 1993 and June 1994 at the Clinica Luigi Mangiagalli of records. Out of the 707 women, adenomyosis was Milan, in Northern Italy, were identified before surgery by trained identified in 150 subjects (21.2%). Women who smoked physicians. After gynaecological examination, information was tended to be at decreased risk of the condition: in collected on socio-demographic characteristics, with an oriented comparison with women who had never smoked, the medical history and reproductive and menstrual factors. The presence of dysmenorrhoea, intermenstrual pelvic pain and dysrisk for current smokers was 0.7 (0.3‐1.3) and the risk pareunia was self-reported. Information regarding previous dilata