Benign Disease of the Uterus

Aradhana Khaund, Mary Ann Lumsden
In: Dewhurst's Textbook of Obstetrics & Gynaecology · 2012 · pp. 715–726 · doi:10.1002/9781119979449.ch54 · W1580816983
book-chapter OA: closed CC0 ⤵ 3 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-12 ⓘ

This review details the presentation, diagnosis, and management of common benign uterine diseases: adenomyosis, endometrial polyps, and uterine fibroids.

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Abstract

Benign disease of the uterus is a common problem in gynaecology. It includes adenomyosis, endometrial polyps and uterine fibroids. Adenomyosis typically presents with heavy menstrual bleeding (HMB) and dysmenorrhoea, usually in association with a degree of uterine enlargement. Transvaginal ultrasound (TVS) is the primary diagnostic tool, but MRI is especially good at differentiating it from other pathologies such as fibroids. While hysterectomy is the definitive treatment, medical treatment is first line of management. Endometrial polyps usually present with unscheduled vaginal bleeding. TVS, hysteroscopy and endometrial sampling all aid diagnosis. Treatment involves excision under direct vision, using hysteroscopy. Uterine fibroids may present with HMB, bulk-related symptoms and reproductive dysfuncion. Medical treatments are useful if menstrual upset is the primary symptom. Hysterectomy remains a valuable option in some women, but has its drawbacks. Myomectomy remains controversial and uterine artery embolization is proving to be a promising uterine-sparing alternative.

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Condition tags

adenomyosisdysmenorrhea

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