Literature Review on the Modern Management of Adenomyosis

M Ahmadi, A Al Nakash
2022 · doi:10.5281/zenodo.6770180 · W6968944776
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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This literature review examines modern management strategies for adenomyosis, focusing on women of reproductive age and the condition’s impacts on quality of life, including dysmenorrhea, menorrhagia, and infertility. It covers medical approaches (hormonal and non-hormonal), interventional options such as HIFU, percutaneous microwave ablation, and radiofrequency ablation, and discusses surgical technique and whether surgery has a role given that surgical options are not routinely offered. The review notes that promising studies have reported improvements in fertility and symptom outcomes with surgical management, while it does not provide detailed methodological limitations specific to individual included studies. This paper is centrally about endometriosis — it is centrally about adenomyosis management and does not focus on endometriosis specifically.

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Abstract

This review article discusses the current modern management of adenomyosis. Adenomyosis is common amongst women of child bearing age and it has many implications on quality of life. These women struggle with symptoms of dysmenorrhoea, menorrhagia and infertility. We discuss the medical, interventional and surgical management of adenomyosis. There are numerous medical treatments which involve hormonal and non-hormonal methods. The interventional methods consist of High intensity focus ultrasound (HIFU), percutaneous microwave ablation (PWMA) and radiofrequency ablation (RA). This paper also discusses the role of surgical technique and whether it has a role in the management of adenomyosis, currently surgical options are not routinely offered to patients. There have been promising studies which have identified that surgery has improved fertility, menorrhagia and dysmenorrhea for patients with adenomyosis.
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Literature Review on the Modern Management of Adenomyosis Authors/Creators - 1. Obstetrics and Gynaecology, West Middlesex University Hospital, Chelsea and Westminster Hospital NHS trust, United Kingdom. Description This review article discusses the current modern management of adenomyosis. Adenomyosis is common amongst women of child bearing age and it has many implications on quality of life. These women struggle with symptoms of dysmenorrhoea, menorrhagia and infertility. We discuss the medical, interventional and surgical management of adenomyosis. There are numerous medical treatments which involve hormonal and non-hormonal methods. The interventional methods consist of High intensity focus ultrasound (HIFU), percutaneous microwave ablation (PWMA) and radiofrequency ablation (RA). This paper also discusses the role of surgical technique and whether it has a role in the management of adenomyosis, currently surgical options are not routinely offered to patients. There have been promising studies which have identified that surgery has improved fertility, menorrhagia and dysmenorrhea for patients with adenomyosis. Files GSCARR-2022-0104.pdf Files (983.5 kB) | Name | Size | Download all | |---|---|---| | md5:1a7ff950638bc06b82b4d87b33f016b7 | 983.5 kB | Preview Download |

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adenomyosisdysmenorrheainfertility

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