Uterine Artery Embolization Treatment for Adenomyosis

This paper describes uterine artery embolization (UAE) as a treatment option for symptomatic adenomyosis, particularly for patients who want to preserve the uterus or avoid surgery due to fear, contraindications, or other reasons. It compares UAE with surgical approaches (including difficulty of adenomyosis excision for diffuse disease) and conservative hormonal/medical therapies, highlighting limitations such as poor compliance with long-term oral contraceptives, irregular bleeding with LNG-IUS, and menopausal symptoms from GnRH-a. The paper states that UAE has nearly a 20-year history and has achieved satisfactory clinical efficacy, with advantages including uterus preservation, easier operation, quick recovery, and few postoperative complications, though it does not provide detailed patient-level methods or outcomes in the provided text. Relevance to endometriosis: the chapter cites research on the relationship between MRI features of adenomyosis and endometriosis phenotypes (Chapron et al., 2017), though its main focus is UAE treatment for adenomyosis.

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