Use of laparoscopic cytoreductive surgery to treat infertile women with localized adenomyosis

Case report OA: bronze CC0 ⤵ 30 in-corpus citations
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This paper describes the application of laparoscopic cytoreductive surgery for the treatment of localized adenomyosis in infertile women.

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Abstract

OBJECTIVE: We report on two infertile women with localized adenomyosis who had successful pregnancies after treatment with laparoscopic cytoreductive surgery. DESIGN: Case report. SETTING: Tertiary care university hospital. PATIENT(S): Two infertile women with localized adenomyosis. INTERVENTION(S): Laparoscopic excision of adenomyotic lesion with/without subsequent hypoestrogenic agent was performed. MAIN OUTCOME MEASURE(S): Pregnancy. RESULT(S): Hypoestrogenic agent with danazol was administered 3 months immediately after surgery in one woman. Both women conceived spontaneously at 30 and 21 months after surgery, respectively. The pregnancies were uneventful, and healthy infants were delivered via cesarean section at term. CONCLUSION(S): Laparoscopic cytoreductive surgery can be an alternative treatment to the use of hypoestrogenic agents or hysterectomy in women with localized adenomyosis, especially for those who want to maintain their fertility and achieve successful pregnancies. Patients may wait up to 21 months after surgery until a pregnancy occurs.

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Danazol Endometriosis Endometriosis Estrogen Antagonists Infertility, Female Laparoscopy Laparoscopy Postoperative Care Postoperative Care Adult Adult Danazol Danazol Endometriosis Endometriosis Estrogen Antagonists Estrogen Antagonists Female Female Humans

Citation neighborhood (2-hop)

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References (18)

Cited by (30)

Source provenance

europepmc
last seen: 2026-10-15T06:08:49.021275+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:03:51.313027+00:00
License: CC0 · commercial use OK