Obstetrics and Gynecology/Adenomyosis

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Definition[edit]

Adenomyosis is defined as the growth of endometrial glandular and stromal tissue within the myometrium.

Epidemiology[edit]

  • Adenomyosis occurs in 10-20% of women.
  • There is a preponderance for adenomyosis in women over the age of 40.

Etiology, Risk Factors, and Pathophysiology[edit]

  • Adenomyosis occurs due to the growth of endometrium inwards (to the myometrial-endometrial interface)

Clinical Presentation and Diagnostic Approach[edit]

Adenomyosis typically presents with

  • Dysmenorrhea and menorrhagia
  • Enlarged, tender uterus
  • Suggestive MRI/CT scanning

Diagnosis of adenomyosis is done through hysterectomy.

Management[edit]

Hysterectomy is the only effective therapy for adenomyosis.