Ultrasound-Guided Radiofrequency Ablation for Focal Adenomyosis

Inclusion Criteria: * Women aged 18 years or older with focal (circumscribed) adenomyosis confirmed by transvaginal ultrasound (TVUS) and described using MUSA terminology * Symptoms (dysmenorrhea and/or heavy menstrual bleeding) persisting despite conservative treatment or intolerance of conservative treatment * Wish to preserve the uterus * Signed informed consent and consent to personal data processing Exclusion Criteria: * Pregnancy (excluded by pregnancy test before the procedure) or planned pregnancy during the study; suspected malignancy; active pelvic infection; intrauterine device in situ * Contraindication to the procedure or anesthesia according to the investigator * Known history or intraoperatively suspected endometriosis, or significant pelvic adhesions * Start or change of hormonal treatment of adenomyosis within 6 months before enrollment * Inability to understand the patient information or to complete the questionnaires independently; current participation in another interventional study