Current diagnostic and treatment strategies for adenomyosis

Jehn‐Hsiahn Yang, Hong‐Nerng Ho, Yu‐Shih Yang
In: Expert Review of Obstetrics & Gynecology · 2006 · vol. 1(1) , pp. 111–120 · doi:10.1586/17474108.1.1.111 · W2013221025
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper reviews diagnostic imaging and pathological confirmation for adenomyosis, a disorder of endometrial tissue within the myometrium, and discusses treatment options ranging from hormonal therapies to hysterectomy.

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Abstract

Adenomyosis is a common gynecological disorder that is characterized by the presence of ectopic endometrial glands and stroma embedded within the myometrium with adjacent smooth muscle hyperplasia. Menorrhagia, dysmenorrhea, metrorrhagia and dyspareunia are the presenting symptoms most often seen. The underlying etiology of adenomyosis is not fully known as yet. Therefore, the treatment of adenomyosis is also not yet optimal. Transvaginal sonography and magnetic resonance imaging are the two main tools for providing images that suggest adenomyosis, although a confirmed diagnosis can only be made after pathological examination of a hysterectomy specimen. The definitive treatment for adenomyosis is hysterectomy but, initially, less-invasive approaches should be tried, including oral contraceptives, progestins, danazol, gonadotropin-releasing hormone agonist, the levonorgestrel-releasing intrauterine system, myometrial excision and uterine artery embolization.

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Condition tags

adenomyosisdysmenorrheadyspareunia

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