Uterine adenomyoma associated with infertility. A report of three cases.
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This report details three young, infertile women with adenomyoma, suggesting it be considered in the differential diagnosis of uterine tumors in infertile women.
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Abstract
Adenomyosis and its localized, tumorlike variant, the adenomyoma, usually afflict multiparous, perimenopausal women and are not considered to cause infertility. Three cases of adenomyoma occurred in young, infertile women. The adenomyoma was not deemed solely responsible for the infertility, although in two cases it could have been contributory. The preoperative diagnosis was leiomyoma, and adenomyoma was not even considered; it was recognized during "myomectomy" in one case. Adenomyoma should be included in the differential diagnosis of a localized uterine tumor in an infertile woman. This preoperative recognition allows the gynecologist to discuss the lesion with the patient, pointing out that the operation may be technically difficult and may result in incomplete removal or hysterectomy and that excision of the tumor may not cure her infertility. It also prepares the gynecologist for the technical problems that may arise intraoperatively. Additional cases of adenomyoma in infertile women need to be reported on before light is shed on its causal relationship to infertility as well as on its diagnosis and management.
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Cited by (17)
- Adenomyosis: Unravelling the causes and exploring treatment strategies among patients seeking conception 2025
- The impact of adenomyosis on IVF outcomes: a prospective cohort study 2021
- Fertility outcome of infertile women with adenomyosis treated with the combination of a conservative microsurgical technique and GnRH agonist: Long-term follow-up in a series of nine patients 2012
- Adenomyosis and female fertility: A critical review of the evidence 2012
- The effect of adenomyosis on in vitro fertilisation and intra-cytoplasmic sperm injection treatment outcome 2011
- Infertility and Adenomyosis 2011
- Ultrasound scan and magnetic resonance imaging for the diagnosis of adenomyosis: systematic review comparing test accuracy 2010
- Is the surgical approach beneficial to subfertile women with symptomatic extensive adenomyosis? 2008
- Adenomiosis 2006
- Adénomyose 2006
- The symptomatology of adenomyosis 2006
- Adenomyosis: what is the impact on fertility? 2005
- Adenomyosis in the baboon is associated with primary infertility 2004
- Adenomyosis 2003
- Uterine Adenomyomas Excluding Atypical Polypoid Adenomyomas and Adenomyomas of Endocervical Type: A Clinicopathologic Study of 30 Cases of an Underemphasized Lesion That May Cause Diagnostic Problems with Brief Consideration of Adenomyomas of Other Female Genital Tract Sites 2000
- Endometriosis and Free Radicals 1999
- Is adenomyosis an immune disease? 1998
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