Adenomyosis
Adenomyosis, a common gynecologic condition of endometrial tissue in the myometrium causing heavy bleeding and pain, can now be diagnosed and treated less invasively than with past histological confirmation and hysterectomy.
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This paper is a chapter reviewing adenomyosis, a gynecologic condition defined by endometrial glands and stroma within the myometrium, focusing on diagnostic approaches and surgical treatment options. It describes how diagnosis has historically relied on histology via invasive surgery, with hysterectomy as the gold standard, but now includes radiologic methods, hysteroscopic visualization with biopsies, and laparoscopic myometrial biopsies enabling confirmation without uterine removal. It also outlines minimally invasive and more conservative surgical therapies for symptom and disease management, with an acknowledged caveat that prior diagnostic certainty depended on histology. Relevance to endometriosis: the chapter frames adenomyosis within the broader context of gynecologic disease and cites work on adenomyosis in association with endometriosis (e.g., prevalence/impact on fertility from MRI-based evidence), though its main focus is adenomyosis diagnosis and surgical therapy.
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