Adenomyosis in Infertile Women : A Review

Shakeela Ishrat, Parveen Fatima
In: Bangladesh Journal of Obstetrics & Gynaecology · 2016 · vol. 30(2) , pp. 105–108 · doi:10.3329/bjog.v30i2.30903 · W2566679617
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This review discusses how adenomyosis can cause infertility through myometrial and endometrial changes, its association with endometriosis, and diagnosis via imaging and surgical methods, noting treatment's impact on pregnancy outcomes.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-14 · read from full text ⓘ

This review discusses adenomyosis in women investigated for infertility, focusing on proposed mechanisms by which adenomyosis may impair fertility, including dysregulation of myometrial architecture and function and altered endometrial receptivity. It highlights that adenomyosis and endometriosis may share similar pathogenesis, noting their frequent association. The paper states that adenomyosis can be diagnosed reliably in symptomatic infertile women using noninvasive imaging such as transvaginal ultrasound and MRI, as well as other procedures like hysterosalpingography, hysteroscopy, and laparoscopy. It also reports that early diagnosis with treatment may have more favorable effects in focal adenomyosis, while diffuse severe adenomyosis has poor prognosis, though as a review it does not present new primary data. This paper is centrally about adenomyosis in the context of infertility and explicitly discusses its relationship with endometriosis as sharing possible pathogenesis.

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Abstract

Adenomyosis is found during infertility work up in many women who delay pregnancy till their late thirties and in some women in their early age. Dysregulation of myometrial architecture and function and altered endometrial receptivity are among the possible mechanisms by which adenomyosis causes infertility. Adenomyosis and endometriosis may have similar pathogenesis as they have frequent association in women. Adenomyosis can be reliably diagnosed in symptomatic infertile women by non invasive means such as transvaginal ultrasound and magnetic resonance imaging as well as hysterosalpingography, hysteroscopy and laparoscopy. Early diagnosis by non-invasive means followed by surgical (adenomyomectomy) or non-surgical (MRgFUS) treatment of focal adenomyosis have promising effect on future pregnancy whereas diffuse severe adenomyosis have poor prognosis.Bangladesh J Obstet Gynaecol, 2015; Vol. 30(2) : 105-108
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Adenomyosis in Infertile Women : A Review Keywords: adenomyosis, endometriosis, infertilityAbstract Adenomyosis is found during infertility work up in many women who delay pregnancy till their late thirties and in some women in their early age. Dysregulation of myometrial architecture and function and altered endometrial receptivity are among the possible mechanisms by which adenomyosis causes infertility. Adenomyosis and endometriosis may have similar pathogenesis as they have frequent association in women. Adenomyosis can be reliably diagnosed in symptomatic infertile women by non invasive means such as transvaginal ultrasound and magnetic resonance imaging as well as hysterosalpingography, hysteroscopy and laparoscopy. Early diagnosis by non-invasive means followed by surgical (adenomyomectomy) or non-surgical (MRgFUS) treatment of focal adenomyosis have promising effect on future pregnancy whereas diffuse severe adenomyosis have poor prognosis. Bangladesh J Obstet Gynaecol, 2015; Vol. 30(2) : 105-108 248 259

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Condition tags

endometriosisadenomyosisinfertility

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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