The Surgical Treatment of Adenomyosis
This chapter discusses the surgical treatment of adenomyosis, focusing on conservative approaches for symptomatic relief, fertility preservation, and pregnancy outcomes, as hysterectomy is definitive but undesirable for fertility.
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This chapter reviews surgical management options for adenomyosis, focusing on conservative (uterus-sparing) procedures for long-term symptom control and fertility preservation, and also discusses pregnancy outcomes after conservative surgery. It situates adenomyosis as a benign condition with abnormal uterine bleeding, dysmenorrhea, and chronic pelvic pain, noting that while hysterectomy is the definitive treatment, many patients seek alternatives and that there are no international guidelines guiding surgical or medical therapy. The chapter highlights “hot issues” such as the effectiveness of conservative surgery for symptomatic relief and its reproductive implications, while acknowledging the broader need for long-term management plans that address pain and bleeding as well as fertility-related goals. This paper is centrally about endometriosis and adenomyosis—though it is a general surgical treatment review focused specifically on adenomyosis, it explicitly compares adenomyosis to endometriosis in framing treatment concerns.
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References (48)
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