Disruption of the endometrial-myometrial border during pregnancy as a risk factor for adenomyosis.
We assessed surgical disruption of the endometrial-myometrial border during pregnancy as a risk factor for adenomyosis in a cohort of 1850 women undergoing hysterectomy during 1978 to 1981. Women who had 3 or more abortions when sharp curettage was common were at increased risk for adenomyosis; women who had curettage procedures or cesarean deliveries were not.
Curtis
Kathryn M
KM
Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Ga., USA.
Hillis
Susan D
SD
Marchbanks
Polly A
PA
Peterson
Herbert B
HB
D000028:Abortion, Induced / Q000009:adverse effects*; D004107:Dilatation and Curettage / Q000009:adverse effects; D004715:Endometriosis / Q000209:etiology*; D004717:Endometrium / Q000293:injuries*; D005260:Female; D006801:Humans; D011247:Pregnancy; D012307:Risk Factors