Preoperative and Postoperative Clinical and Transvaginal Ultrasound Findings of Adenomyosis in Patients With Deep Infiltrating Endometriosis

Lucia Lazzeri, Alessandra Di Giovanni, A. Di Giovanni, Caterina Exacoustos, C. Exacoustós, Claudia Tosti, Serena Pinzauti, Mario Malzoni, Felice Petraglia, Errico Zupi
Reproductive sciences (Thousand Oaks, Calif.) · 2014 · vol. 21(8) , pp. 1027–1033 · doi:10.1177/1933719114522520 · PMID:24532217 · W2068290923
article OA: closed CC0 ⤵ 98 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-06 ⓘ

This study found that deep infiltrating endometriosis is often associated with adenomyosis, which significantly impacts preoperative symptoms and postoperative pain.

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

This study enrolled 121 women undergoing laparoscopic treatment for deep infiltrating endometriosis (DIE) and assessed preoperative symptoms (dysmenorrhea, dyspareunia, abnormal uterine bleeding, bowel and urinary symptoms) alongside 2-dimensional transvaginal ultrasound findings of both DIE and adenomyosis; a follow-up subset of 55 was reassessed 3–6 months after surgery. Nearly half of the DIE patients (59/121; 48.7%) also had ultrasound-detected adenomyosis, and compared with DIE-only patients, those with adenomyosis had significantly higher dysmenorrhea, dyspareunia, and abnormal uterine bleeding preoperatively. After surgery, pain improved overall but remained significantly higher in the adenomyosis group; the main caveat is that adenomyosis diagnosis was based on transvaginal ultrasound rather than histopathology. This paper is centrally about endometriosis—specifically the preoperative and postoperative impact of coexisting ultrasound-diagnosed adenomyosis in women with deep infiltrating endometriosis.

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endometriosisadenomyosisdie_deep_infiltrating

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