The patient with adenomyosis

Andreas Athanasakis, Arri Coomarasamy
In: Assisted Reproduction Techniques · 2021 · pp. 182–186 · doi:10.1002/9781119622215.ch30 · W3169995586
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This paper reviews adenomyosis, noting its frequent coexistence with fibroids and endometriosis, its increasing diagnosis at younger ages, and its potential negative impact on fertility treatments like intrauterine insemination and IVF.

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Abstract

This chapter includes clinical cases, background, evidence-based practical management options, preventive measures and key-point summaries of adenomyosis. Adenomyosis can coexist with fibroids, making the symptoms worse. With advances in imaging, adenomyosis is being diagnosed more often and at a younger age than in the past. There seems to be a strong association between adenomyosis and endometriosis. Special care should therefore be taken during the baseline ultrasound assessment of women with endometriosis to ensure adenomyosis is ruled out. There is evidence to suggest that adenomyosis can lower the chances of success with intrauterine insemination, especially when diffuse adenomyosis is detected. A retrospective cohort study indicated that GnRH agonist pretreatment before the long agonist protocol did not improve the live birth rate in fresh embryo transfer cycles or the cumulative live birth rate after in-vitro fertilization treatment among infertile women with adenomyosis.

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Condition tags

endometriosisadenomyosis

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.

References (20)

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last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK