Endokrine operative Therapie der Adenomyosis

J. Keckstein, U. Ulrich
In: Gyn�kologische Endokrinologie · 2004 · vol. 2(1) , pp. 11–18 · doi:10.1007/s10304-004-0049-6 · W2329283261
article OA: closed CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

Adenomyosis diagnosis relies on histology, with hormonal treatments including contraceptives, IUDs, or GnRH analogues, and surgical options ranging from resection to hysterectomy.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This paper reviews endocrine and surgical treatment options for adenomyosis, describing the uterine pathology, symptom profile, and diagnostic approaches (including transabdominal/transvaginal punch biopsy and transcervical loop resection). It summarizes how hormonal therapy is used, including continuous ovulation-inhibiting contraceptives or a levonorgestrel- or danazol-loaded hormone IUD, and reports that GnRH agonists are effective in enhancing pregnancy rates without surgery or improving outcomes when combined with surgery, IVF, or ICSI; it also outlines organ-sparing options for focal or superficial disease and notes that hysterectomy is considered the classic therapy of choice for extensive findings. A stated limitation is that the definitive diagnosis requires histology, not imaging or symptoms alone. This paper is centrally about endometriosis and/or adenomyosis — it focuses on adenomyosis and its endocrine and operative treatment strategies.

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adenomyosis

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