Adenomyosis: What the Patient Needs

J Minim Invasive Gynecol. 2016 May-Jun;23(4):476-88. doi: 10.1016/j.jmig.2015.12.017. Epub 2016 Jan 6.

Abstract

A panel of experts in the field of endometriosis expressed their opinions on management options in a 28-year-old patient, attempting pregnancy for 1 year, with severe cyclic pelvic pain and with clinical examination and imaging techniques suggestive of adenomyosis. Many questions this paradigmatic patient may pose to the clinician are addressed, and all clinical scenarios are discussed. A decision algorithm derived from this discussion is also proposed.

Keywords: Adenomyosis; Diagnosis; Pelvic pain; Pregnancy desire; Treatment.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adenomyosis / diagnosis*
  • Adenomyosis / therapy
  • Adult
  • Algorithms
  • Clinical Decision-Making
  • Endometriosis / diagnosis*
  • Endometriosis / therapy
  • Female
  • Humans
  • Hysteroscopy / methods
  • Magnetic Resonance Imaging
  • Multimodal Imaging
  • Needs Assessment
  • Physical Examination / methods
  • Preconception Care / methods
  • Pregnancy
  • Pregnancy Complications / diagnosis*
  • Ultrasonography