Adenomyosis revisited

In: Obstetrics and Gynaecology Forum · 2010 · vol. 20(4) · doi:10.4314/ogf.v20i4.61871 · W4255158309
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This review updates current knowledge on adenomyosis, covering its pathogenesis, advanced diagnostic tools, and alternative management options beyond hysterectomy.

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This review article updates current knowledge regarding adenomyosis, a common gynecological condition. It highlights the shift from historical beliefs that the disease could be diagnosed clinically to modern consensus requiring advanced diagnostic tools for reliable identification. The authors outline these new insights into pathogenesis and present alternative management options available to clinicians beyond the previous standard of hysterectomy. This paper is centrally about adenomyosis, focusing on its diagnosis and treatment alternatives.

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Abstract

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. Keywords: Adenomyosis; Diagnosis; Treatment
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Abstract

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.

Keywords

Adenomyosis; Diagnosis; Treatment

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adenomyosis

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