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Review
. 2018 Mar 15:2018:6832685.
doi: 10.1155/2018/6832685. eCollection 2018.

The Investigation and Management of Adenomyosis in Women Who Wish to Improve or Preserve Fertility

Jin-Jiao Li  1 , Jacqueline P W Chung  2 , Sha Wang  1 , Tin-Chiu Li  2 , Hua Duan  1
Affiliations
Review

The Investigation and Management of Adenomyosis in Women Who Wish to Improve or Preserve Fertility

Jin-Jiao Li et al. Biomed Res Int. .

Abstract

The management of adenomyosis remains a great challenge to practicing gynaecologists. Until recently, hysterectomy has been the only definitive treatment in women who have completed child bearing. A number of nonsurgical and minimally invasive, fertility-sparing surgical treatment options have recently been developed. This review focuses on three aspects of management, namely, (1) newly introduced nonsurgical treatments; (2) management strategies of reproductive failures associated with adenomyosis; and (3) surgical approaches to the management of cystic adenomyoma.

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Figures

Figure 1
Figure 1
(a) Ultrasound and (b) MRI appearance of a cystic adenomyoma.
Figure 2
Figure 2
(a) Hysteroscopic view at high perfusion pressure. (b) Hysteroscopic view at low perfusion pressure with bulging of cystic adenoma seen. (c) Hysteroscopic dissection of cystic adenomyoma wall away from endometrium. (d) Roller ball ablation of adenomyotic deposits.
See this image and copyright information in PMC

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