[Impact of adenomyosis on results of endometrial ablations].

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This study found that adenomyosis did not significantly impact endometrial ablation success rates, with 56% of patients achieving relief after one procedure and 67% after one or two.

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Abstract

The authors report the results of a retrospective series concerning 121 patients who presented abnormal uterine bleeding resistant to progestogen therapy. These patients were adenomyosis carriers and who underwent loop endometrial ablation. Over a maximum period of 8 years, the success rate was 56% following one endometrial resection and 67% following one or two resections. The study recorded a repeat resection level of 11%. Seventeen hysterectomies (19%) were performed because of the recurrence of abnormal uterine bleeding. These results are comparable to those observed in endometrial ablation performed for menorrhagia, all benign etiology included. Adenomyosis does not appear to be a factor in the failure of endometrial ablation, except in the case of deep adenomyosis which is difficult to diagnose pre-operatively.

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Endometriosis Endometriosis Endometrium Uterine Hemorrhage Uterine Hemorrhage Adult Endometriosis Endometrium Female Humans Middle Aged Progestins Progestins Retrospective Studies Uterine Hemorrhage Uterine Hemorrhage

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europepmc
last seen: 2026-09-15T06:16:59.523076+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
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License: CC0 · commercial use OK