{"paper_id":"fa9bc0de-4b20-470a-a37d-b6a87dfe1457","body_text":"Abstract\nAdenomyosis is a heterogeneous and benign gynecological condition that has an important impact on women in reproductive age. Adenomyosis often remains undiagnosed before a hysterectomy. An earlier diagnosis of adenomyosis requires a comprehensive medical history and a correlation of clinical examination and imaging findings, either ultrasound or MRI. Hysteroscopy can have both diagnostic and therapeutic uses regarding adenomyosis. With the improvement of the quality of mini-hysteroscopy, the hysteroscopy can be integrated as a first-line tool for diagnosis in context of abnormal uterine bleeding, infertility, or dysmenorrhea. Also, the hysteroscopy offers the possibility to perform biopsy of endomyometrial tissue under direct vision. Conservative treatment has been introduced since imaging technology and hysteroscopy have enabled the presumptive diagnosis of uterine adenomyosis in symptomatic women who want to preserve their uterus. The treatment options are depending on the age of the patients, the willingness to conceive, the type, size, and location of the lesion involve. Hysteroscopy is less invasive than laparoscopy and laparotomy for treating adenomyotic cysts. The impact of adenomyosis on fertility and failure of implantation is still debated, and treatment of adenomyosis is still lacking in the context of infertility. The aim of this chapter is to describe the importance of the diagnosis of adenomyosis by hysteroscopy and to analyze new therapeutic strategies.\nSimilar content being viewed by others\nReferences\nPeric H, Fraser IS. The symptomatology of adenomyosis. Best Pract Res Clin Obstet Gynaecol. 2006;20:547–55.\nGarcia L, Isaacson K. Adenomyosis: review of the literature. 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Gynecol Surg. 2014;11(4):273–8.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 2018 Springer International Publishing AG\nAbout this chapter\nCite this chapter\nBouaziz, J., Soriano, D. (2018). Adenomyosis and Hysteroscopy: An Up-to-Date Review. In: Tinelli, A., Alonso Pacheco, L., Haimovich, S. (eds) Hysteroscopy. Springer, Cham. https://doi.org/10.1007/978-3-319-57559-9_42\nDownload citation\nDOI: https://doi.org/10.1007/978-3-319-57559-9_42\nPublished:\nPublisher Name: Springer, Cham\nPrint ISBN: 978-3-319-57558-2\nOnline ISBN: 978-3-319-57559-9\neBook Packages: MedicineMedicine (R0)","source_license":"CC0","license_restricted":false}