Adenomyosis revisited : review

Adenomyosis is a common gynaecological condition. In the past, it was believed that the diagnosis could be made clinically and confirmed histologically following hysterectomy, which was the treatment of choice. Presently, it has been accepted that adenomyosis cannot be diagnosed clinically. There are newer insights into the pathogenesis of the disease, as well as advanced diagnostic tools that allow reliable diagnosis. This has resulted in different management options which are available to the clinician. The aim of this review is to present an update of the current knowledge and outline alternate management options.