Diagnosticul adenomiozei uterine la pacientele de vârstă reproductivă

Uterine adenomyosis is a gynecologic condition charac­te­rized by the presence of islands of ectopic endometrial tissue in­side the myometrium. This disease affects 20% of women of reproductive age, causing pelvic pain, abnormal uterine ble­eding and infertility. This paper is a review based on in­for­ma­tion found in literature. The analysis was limited to ar­ti­cles in English language published between January 1st, 2000 and November 13th, 2019 on PubMed. In this review, we discuss the current trends in the management of uterine ade­no­myo­sis, especially ultrasound and MRI diagnosis. Ade­no­myo­sis remains an underdiagnosed condition. Through a careful description of the sonographic aspects of adenomyosis and using a standardized classification, we can improve the diagnosis rates in women of reproductive age.