Introduction:

Adenomyosis is an entity in which the prevalence is very wide (5 to 70%), with a mean prevalence of 20 to 30%. Currently, the only confirmatory diagnosis is the histopathological study of the piece by hysterectomy, as well as the only way to study the real prevalence. In our environment, there are not many current studies that tell us the prevalence of this pathology, which is why it is important to carry out intentional searches.

Objective:

To estimate the prevalence of adenomyosis in patients undergoing total abdominal hysterectomy secondary to abnormal uterine bleeding.

Material and methods:

Cross-sectional, retrospective, descriptive study. This cross-sectional, retrospective, descriptive study was carried out in patients who underwent total abdominal hysterectomy due to abnormal uterine bleeding, collecting their histopathological reports from January 2017 to December 2019, patients with the presence of malignant lesions (cervical cancer, endometrial cancer) were excluded, which had an indication for hysterectomy due to pelvic organ prolapse, pelvic inflammatory disease, obstetric hemorrhage, with subtotal hysterectomy.

Conclusions:

A total of 168 patients were studied, in which a prevalence of 29.8% was observed, similar to that established in the general bibliography. No risk factors associated with this condition were found.