Surgical and medical treatment of adenomyosis

C Wood, Wood C
Human Reproduction Update · 1998 · vol. 4(4) , pp. 323–336 · doi:10.1093/humupd/4.4.323 · PMID:9825848 · W2129833618
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This paper reviews improved diagnostic methods for adenomyosis and discusses surgical and medical treatments, noting hysterectomy remains necessary for severe cases.

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Abstract

The treatment of adenomyosis has been limited by the difficulty and delay associated with the diagnosis, often not until after hysterectomy. Magnetic resonance imaging, high resolution vaginal ultrasound and uterine biopsy have improved early detection of adenomyosis. Drug therapy may be effective in controlling symptoms but the frequent coexistence of endometriosis and the lack of controlled studies make their efficacy difficult to quantify. Conservative surgery involving endomyometrial ablation, laparoscopic myometrial electrocoagulation or excision has proven to be effective in >50% of patients, although follow-up has been restricted to 3 years. Hysterectomy will still be necessary in severe cases of adenomyosis. Early diagnosis may improve treatment. Investigations are indicated in women with menstrual pain or menorrhagia not responding to drug therapy.

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Condition tags

endometriosisadenomyosis

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Female Humans Hysterectomy Leiomyoma Leiomyoma Myometrium Myometrium Pregnancy Uterine Neoplasms Uterine Neoplasms

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (46)

Cited by (50)

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