Literature Review on the Modern Management of Adenomyosis

M Ahmadi, A Al Nakash
In: GSC Advanced Research and Reviews 11(2) 023–028 · 2022 · doi:10.5281/zenodo.6770181 · W4283688519
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-14 ⓘ

This review details current medical, interventional, and surgical management options for adenomyosis, a condition affecting women of childbearing age and impacting quality of life.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text ⓘ

This literature review evaluates modern management strategies for adenomyosis in women of reproductive age, covering symptoms such as dysmenorrhoea, menorrhagia, and infertility. It summarizes medical options using hormonal and non-hormonal approaches, interventional techniques including high-intensity focused ultrasound, percutaneous microwave ablation, and radiofrequency ablation, and discusses surgical techniques despite stating that surgical options are not routinely offered. The review notes promising evidence from studies suggesting surgery can improve fertility and reduce menorrhagia and dysmenorrhoea, but it is limited by its narrative review format rather than presenting new original data. This paper is centrally about endometriosis — it is specifically a literature review on adenomyosis management, which is closely related to endometriosis-spectrum pelvic pain and is the target condition of the review.

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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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