Does endometrial resection cause adenomyosis?
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This paper investigates whether endometrial resection is a causal factor in the development of adenomyosis.
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Abstract
Nine cases of adenomyosis after endometrial resection are examined. Patients' symptoms were menorrhagia prior to initial resection, and patients had normal ultrasounds prior to their first procedure. All of the patients underwent resection without hormonal preparation. None had adenomyosis on resection specimens. After resection, five complained of cyclic pelvic pain, and four had dysmenorrhea. The onset of symptoms varied from 7 to 60 months. Ultrasound findings consistent with adenomyosis were reported in seven patients. Five patients had repeat resection procedures; specimens all showed adenomyosis on tissue report. Two patients are asymptomatic after the repeat resection. One patient continues on suppressive therapy with partial relief of symptoms. Two required hysterectomy for continued pain. In total, six patients required hysterectomy for continued dysmenorrhea or pelvic pain; at surgery the diagnosis of adenomyosis was confirmed.
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Cited by (10)
- The effect of transcervical endometrial resection on clinical symptoms related to intrinsic adenomyosis and junctional zone changes 2019
- Hormonal treatment for uterine adenomyosis 2014
- The effect of oral contraceptives on aromatase and Cox-2 expression in the endometrium of patients with idiopathic menorrhagia or adenomyosis 2013
- Évolutions physiopathologiques, diagnostiques et thérapeutiques dans la prise en charge de l’adénomyose : revue de la littérature 2004
- Insertion of Mirena after Endometrial Resection in Patients with Adenomyosis 2003
- Redefining endometriosis: Endometriosis is an entity with extreme pleiomorphism 2000
- 10.1016/s0246-1064(19)30222-1 2000
- Does endometrial resection help dysmenorrhea? 1997
- Endometrial resection and late reoperation in the treatment of menorrhagia 1997
- Postablation-tubal sterilization syndrome 1996
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- europepmc
- last seen: 2026-08-03T06:10:56.557307+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
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- unpaywall
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