The Role of Hysteroscopy in the Diagnosis and Management Endometriosis and Adenomyosis: The Current Perspective

In: Atlas of Hysteroscopy · 2020 · pp. 83–88 · doi:10.1007/978-3-030-29466-3_9 · W3006943765
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Hysteroscopy aids in diagnosing endometriosis by revealing characteristic patterns and can be used to manage superficial adenomyosis lesions with mechanical instruments and electrocautery.

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This chapter reviews how hysteroscopy can contribute to diagnosing and managing adenomyosis and endometriosis, outlining definitions and the specific endoscopic findings used to suggest disease. For adenomyosis, it states that hysteroscopy with mechanical instruments and electrocautery is reserved for focal and superficial lesions in the setting of diffuse adenomyosis, while endometriosis diagnosis via hysteroscopy relies on characteristic signs such as a “strawberry pattern,” hemorrhagic cystic lesions, and irregular endometrium with tiny openings, with laparoscopy described as the confirmation approach. A key caveat is that the discussion presents hysteroscopic roles in a descriptive, current-perspective manner rather than providing quantitative comparative evidence or explicit outcome limitations. Relevance to endometriosis and adenomyosis: the paper is centrally about how hysteroscopy is used for both adenomyosis (focal/superficial lesions within diffuse adenomyosis) and endometriosis (diagnostic assistance using characteristic hysteroscopic findings).

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Abstract

Adenomyosis is defined as the abnormal presence of endometrial glands and stroma within the myometrium. There are two types of adenomyosis, diffuse and focal. The role of hysteroscopy, with assistance of mechanical instruments and electrocautery, is reserved only in cases of focal and superficial lesions in the setting of diffuse adenomyosis. Endometriosis is defined by the ectopic presence of endometrial glands and stroma outside of the uterus, located mainly in the pelvis. Hysteroscopy can be used in assisting diagnosis of endometriosis, which otherwise would require laparoscopy for confirmation based on specific findings that are indicative of endometriosis including strawberry pattern, hemorrhagic cystic lesions, or irregular endometrium with tiny openings seen on the endometrial surface. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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