An unexpected diagnosis of adenomyosis in the subfertile woman

Hunjan, Tia; Davidson, Andrew R.

doi:10.1136/bcr-2014-209012

Cited by 3 publications

(2 citation statements)

References 32 publications

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“…Adenomyosis is thought to cause inflammatory changes in the endometrium and adversely affect the composition of endometrial fluid, both of which can impair implantation. 11 IVF treatment can be combined with medical therapy to increase pregnancy rates. Due to the detrimental effects of adenomyosis on IVF outcomes and the iatrogenic complications associated with controlled ovarian stimulation (COS), segmented-IVF with FET should be considered.…”

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%

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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“…[91][92][93][94] Correct preoperative diagnosis can almost always be achieved with MRI: this is crucial for fertility-sparing surgical planning, as adenomyosis can be easily mistaken for "fibroids" which has led to aborted operations and even to unexpected hysterectomy. 95 Both laparotomy and laparoscopy have been used to perform cytoreductive surgery for adenomyosis, either independently or as a part of combined therapy with gonadotropin-releasing hormone analogs or danazol. 91,[96][97][98] Flexible CO 2 laser fiber has been utilized successfully in robotic adenomyomectomy.…”

Section: Adenomyosis/adenomyomamentioning

confidence: 99%

Robotics and Reproductive Surgery

2017

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Robotic technology applied to laparoscopy augments the armamentarium of the reproductive specialist. Uterine leiomyomas, adenomyosis, endometriosis, adnexal masses, sterilization reversal, and fertility preservation techniques can all be addressed with a robotic surgery skill set. Additionally, new approaches with single site and natural orifice surgery will continue to maximize advanced opportunities for safe, effective, and cosmetically conscious (patient-centered) approaches to surgical care. Enhanced postoperative recovery pathways are fully adaptable to these robotic procedures and improve patient acceptability while controlling costs.

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Diffuse massive adenomyosis and infertility. Is it possible to treat this condition?

Tskhay

Schindler²,

Микаиллы

2019

Hormone Molecular Biology and Clinical Investigation

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Background Severe forms of adenomyosis are a serious gynecological problem. In most cases, conservative treatment of this pathology is unsuccessful. Adenomyomectomy by Osada’s approach seems to be the most promising solution. The present study evaluated the follow-up results of this type of surgery in patients with adenomyosis and infertility. Materials and methods The prospective study included 26 patients with severe forms of adenomyosis who underwent an adenomyomectomy using Osada’s approach. In 18 patients (69%), infertility was the main indication for surgical treatment. The follow-up period lasted from July 2012 to January 2018. Results The median post-operative follow-up period was 18 months. For the first 12 months patients received hormonal therapy. In all postoperative patients, the menstrual cycle had normalized, and other symptoms of the disease had disappeared. Seven patients continue to receive postoperative hormonal treatment. Three individuals got spontaneously pregnant; two of them delivered full-term babies by cesarean section. Six patients are planning a pregnancy with assisted reproductive technology. Conclusion In the present study, the organ-preserving surgery of severe adenomyosis performed using Osada’s method appeared to be a good alternative to hysterectomy. It stopped the development of pathological symptoms of the disease and restored the patient’s reproductive function.

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An unexpected diagnosis of adenomyosis in the subfertile woman

Cited by 3 publications

References 32 publications

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

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

Robotics and Reproductive Surgery

Diffuse massive adenomyosis and infertility. Is it possible to treat this condition?

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