Diagnosis and Surgical Management of Adenomyosis
This review covers fertility-sparing surgical options for diffuse adenomyosis and localized adenomyoma and discusses their impact on future fertility.
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This chapter reviewed adenomyosis as endometrial tissue infiltration into the myometrium and discussed how diagnosis has shifted from definitive surgical pathology toward broader use of non-invasive imaging, particularly MRI and ultrasound, in populations presenting with pain, bleeding, and/or subfertility. It surveyed proposed mechanisms of pathophysiology and emphasizes that the exact underlying biology remains not fully elucidated, alongside a review of fertility-sparing surgical management options for diffuse adenomyosis and localized adenomyoma and their impact on future fertility. A major limitation is that, as an overview chapter, it synthesizes existing evidence rather than reporting new patient outcomes, and it notes ongoing uncertainty about pathophysiology. This paper is centrally about endometriosis and adenomyosis — specifically adenomyosis diagnosis and fertility-sparing surgical management, with imaging methods discussed in relation to the broader pelvic pathology landscape.
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