Adenomyosis – An Overview

Stephanie Wong, Charles E Ray
Seminars in interventional radiology · 2022 · vol. 39(01) , pp. 119–122 · doi:10.1055/s-0042-1742345 · PMID:35210742 · PMC8856779 · W4213118568
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Abstract

Adenomyosis is a benign uterine disorder in which there is a pathological presence of endometrial glands and stroma in the myometrium. Symptoms can include abnormal uterine bleeding, dysmenorrhea, dyspareunia, or infertility; one-third of women, however, remain asymptomatic.[1] [2] Since many of these symptoms also occur in other gynecological diseases such as endometriosis and uterine fibroids, which often co-exist with adenomyosis, making a clinical diagnosis can be difficult. In the past, adenomyosis was only diagnosed on histopathology after a hysterectomy. With the combination of a patient's risk factor profile, clinical symptoms, and imaging diagnostic tools such as transvaginal ultrasound (TVUS) and magnetic resonance imaging (MRI), clinicians are able to identify adenomyosis in a non-invasive way.[1] [3] [4] [5] The diagnosis of adenomyosis has been increasing in young women of reproductive age and conservative treatment is essential in those who prefer to maintain fertility.[1] [5] Since adenomyosis greatly impacts quality of life, it is important for clinicians to properly diagnose and treat these women to optimize clinical outcome.

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endometriosisadenomyosisdysmenorrheadyspareuniainfertility

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