Is There a Place for UAE in Adenomyosis?
Adenomyosis is a benign endometrial invasion of the myometrium causing uterine enlargement, often coexisting with fibroids, and can be diffuse or focal.
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This paper is a chapter overview defining adenomyosis and describing its common coexisting pelvic localizations and frequent association with uterine fibroids, framing the context for considering radiological intervention such as uterine artery embolization (UAE). It characterizes adenomyosis as benign endometrial invasion into the myometrium with diffuse or focal uterine involvement, and notes that 60–80% of women have other pelvic disease sites and up to 55% also have fibroids. The chapter’s main limitation is that the provided text functions as an expository discussion without presenting new original study data or a detailed methodology or outcomes. Relevance to endometriosis: the chapter focuses specifically on adenomyosis but uses adjacent terminology and context typical of pelvic endometrial disorders, which it situates as part of broader benign pelvic pathology alongside endometrial invasion conditions. This paper is centrally about adenomyosis — providing foundational epidemiologic and pathologic background relevant to whether UAE has a place in its management.
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