EP26.13: Correlation of degree of adenomyosis with symptoms and fertility among Filipino women using the new sonographic classification of adenomyosis

The objective of the study is to correlate the degree of adenomyosis to symptoms and fertility through a new scoring system based on the features on transvaginal ultrasound (TVS). This is a descriptive prospective study in a tertiary government hospital which includes patients who have at least one ultrasound feature of adenomyosis. Symptomatology were reported using visual analog scale (VAS) and pictorial blood loss analysis chart (PBAC). Fertility was also recorded. A total of 22 participants with sonologic features of adenomyosis (mean age ± standard deviation, 36 years old ± 5.3) were documented. Diffuse adenomyosis of the outer myometrium was seen among younger patients. It was observed that forty percent (40.9%) of women are nulligravid and nullipara. There is no significant correlation of adenomyosis and menstrual bleeding, however, the amount of bleeding was seen to decrease as the severity progresses. Severe dysmenorrhea was reported by all of the participants and showed that the degree of adenomyosis progresses consequently as the pain by VAS scoring increases. Infertility was found in 19 out of 22 patients and showed that most infertile women have diffuse adenomyosis with adenomyoma. Infertility, heavy menstrual bleeding, dysmenorrhea and dyspareunia are commonly associated in women with adenomyosis. The new scoring system of adenomyosis, from mild to severe, provides an understanding of the clinical symptoms as well as fertility status among patients. Therefore, it is recommended for future studies to verify the reproducibility of the scoring system and its clinical relevance. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.