Adenomyosis presenting as a molar pregnancy: A case report

Bedrick, Bronwyn S.; Kazarian, Gregory S.; Greenwade, M.; Spies, Nick; Chen, Tiffany; Maluf, Horacio; Dicke, Jeffrey M.; Thaker, Premal H.

doi:10.1016/j.gore.2020.100573

Cited by 1 publication

(1 citation statement)

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“…However, with advancements in radiologic imaging, adenomyosis is being diagnosed at an earlier age. 6 The modern definition of adenomyosis was provided in 1972 by Bird, who stated, "Adenomyosis may be defined as the benign invasion of endometrium into the myometrium producing diffusely enlarged uterus, which microscopically exhibits ectopic non-neoplastic endometrial glands and stroma surrounded by hypertrophic and hyperplastic myometrium". 7 Adenomyosis can be classified into two categories depending on the scope of lesion: 1. focal adenomyosis, in which the area of hypertrophic and distorted endometrium and myometrium is constrained (typically embedded within the myometrium), and 2. diffuse adenomyosis, which is the severe form of the disease and is distinguished by foci of endometrial mucosa (glands and stroma) scattered throughout the uterine musculature.…”

Section: Discussionmentioning

confidence: 99%

Fertility sparing treatment in an infertile patient with severe adenomyosis and a uterine fibroid: a case report

Yaramareddy

Sardena

Bhukya

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Adenomyosis and uterine leiomyoma are benign lesions of the myometrium. Adenomyosis is a myometrial lesion characterised by the presence of ectopic endometrium with or without hyperplasia of the surrounding myometrium. Uterine fibroids, also called leiomyomas or myomas, are benign tumours that arise from the smooth muscle of the uterus. A 33-year-old nulliparous woman attended the clinic with primary infertility for 18 years. She was diagnosed with severe adenomyosis and uterine fibroids. She conceived successfully after undergoing in vitro fertilization (IVF) and a downregulated frozen embryo transfer (FET). Adenomyosis is a common cause of primary and secondary dysmenorrhea associated with infertility in young, nulliparous women. Fertility preservation is the primary goal in this population. Medical management is essential, and a properly downregulated and planned FET is the treatment of choice.

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Section: Discussionmentioning

confidence: 99%