Adenomyosis

Edward A. Lyons
In: Ultrasonography in Reproductive Medicine and Infertility · 2010 · pp. 126–133 · doi:10.1017/cbo9780511776854.018 · W1016739895
book-chapter OA: closed CC0
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-09 ⓘ

This chapter discusses adenomyosis, its pathology, clinical presentation, diagnostic challenges including differentiation from fibroids, and its suspected role in infertility.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This chapter reviews ultrasonography for adenomyosis within the broader context of reproductive medicine and infertility, describing the typical clinical and pathologic features and how they relate to imaging findings. It notes that adenomyosis is pathologically confirmed by ectopic endometrial glands and stroma within the myometrium, which is associated with adjacent smooth-muscle hyperplasia and hypertrophy leading to uterine enlargement. The chapter emphasizes that sonographic diagnosis is challenging because fibroids and adenomyosis can be confused, and that subtle increased myometrial echogenicity may be best seen with higher-resolution ultrasound; it also states that diagnosis should integrate the history, sonographic features, and tenderness rather than rely on ultrasound appearance alone. It relates to endometriosis because the chapter contrasts adenomyosis pathology to ectopic endometrial elements and is situated in an ultrasonography section that also includes pelvic endometriosis. This paper is centrally about adenomyosis — it focuses on how adenomyosis is clinically, pathologically, and sonographically assessed in reproductive medicine and infertility.

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adenomyosis

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last seen: 2026-06-10T17:14:06.276822+00:00
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