The Clinical Features and Diagnosis of Adenomyosis

As early as 1920, Cullen [1] described adenomyosis as “endometriosis with predominantly presence of fibromuscular tissue,” and in 1921 Sampson [2] distinguished three types of adenomyosis. However, adenomyosis remained little known in the later decades and written only as an appendix in books on endometriosis, not knowing that adenomyosis has a great adverse impact on women’s health. For a long time, adenomyosis could only be diagnosed on histological specimens after hysterectomy in reproductive age women with heavy menstrual bleeding or pelvic pain [3]. Therefore the incidence rate in retrospective studies was seriously underestimated, and the prevalence rate varies due to the criteria used. Over the last 10 years, adenomyosis has become a condition diagnosed in young reproductive age women [4] because of the recent advancements in imaging techniques. Despite the new diagnostic tools, the awareness of the disease is still poor among the doctors with consensus on definition, and classification is still lacking [5]. Furthermore, adenomyosis is often associated with other gynecological conditions, such as endometriosis and fibroids. This chapter will discuss the clinical features and diagnosis of adenomyosis. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2021 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. About this chapter Cite this chapter Dai, Y., Leng, J. (2021). The Clinical Features and Diagnosis of Adenomyosis. In: Xue, M., Leng, J., Wong, F. (eds) Adenomyosis. Springer, Singapore. https://doi.org/10.1007/978-981-33-4095-4_4 Download citation DOI: https://doi.org/10.1007/978-981-33-4095-4_4 Published: Publisher Name: Springer, Singapore Print ISBN: 978-981-33-4094-7 Online ISBN: 978-981-33-4095-4 eBook Packages: MedicineMedicine (R0)