Adenomyosis
DEFINITION
- Abnormal presence of endometrial tissue within the myometrium (diffuse or focal)1,2
SYMPTOMS2,3
- Heavy menstrual bleeding, dysmenorrhea and pelvic pain and
reduced fertility - Up to a third of patients are asymptomatic
DIAGNOSIS
- Transvaginal ultrasound4
- Magnetic resonance imaging5
TREATMENT
- Medical treatment: levonorgestrel intrauterine system, oral contraceptives, gonadotropin releasing hormone (GnRH) agonists6
- Surgical treatment: adenomyectomy, hysterectomy3,6
Adenomyosis Library
Find more information and download materials on adenomyosis in the teaching and resources library.
References
- Fedele L, et al. Fertil Steril 1992;58:94–7.
- Levy G, et al. Diagn Interv Imaging 2013;94:3–25.
- Abbott JA. Best Pract Res Clin Obstet Gynaecol 2017;40:68–81.
- Munro MG, et al. Int J Gynaecol Obstet 2011;113:3–13.
- Dueholm M, et al. Fertil Steril 2001;76:588–94.
- Berlanda N, et al. Current treatment for adenomyosis. In Uterine Adenomyosis, eds Habiba M & Benagiano G. Cham, Springer, 2016:169–82.
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