Adenomyosis

References

Key articles

Dason ES, Maxim M, Sanders A, et al; Society of Obstetricians and Gynaecologists of Canada (SOGC). Guideline no. 437: diagnosis and management of adenomyosis. J Obstet Gynaecol Can. 2023 Jun;45(6):417-29.e1.Full text  Abstract

National Institute for Health and Care Excellence. Heavy menstrual bleeding: assessment and management. Mar 2018; updated May 2021 [internet publication].Full text

Munro MG, Critchley HOD, Fraser IS, et al. The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions. Int J Gynaecol Obstet. 2018 Dec;143(3):393-408. Abstract

American College of Obstetricians and Gynecologists; Committee on Practice Bulletins - Gynecology. Practice bulletin no. 128: diagnosis of abnormal uterine bleeding in reproductive-aged women. Obstet Gynecol. 2012 Jul;120(1):197-206.Full text  Abstract

Reference articles

1. Van den Bosch T, de Bruijn AM, de Leeuw RA, et al. Sonographic classification and reporting system for diagnosing adenomyosis. Ultrasound Obstet Gynecol. 2019 May;53(5):576-82.Full text  Abstract

2. Dason ES, Maxim M, Sanders A, et al; Society of Obstetricians and Gynaecologists of Canada (SOGC). Guideline no. 437: diagnosis and management of adenomyosis. J Obstet Gynaecol Can. 2023 Jun;45(6):417-29.e1.Full text  Abstract

3. National Institute for Health and Care Excellence. Heavy menstrual bleeding: assessment and management. Mar 2018; updated May 2021 [internet publication].Full text

4. Bergholt T, Eriksen L, Berendt N, et al. Prevalence and risk factors of adenomyosis at hysterectomy. Hum Reprod. 2001 Nov;16(11):2418-21. Abstract

5. Curtis KM, Hillis SD, Marchbanks PA, et al. Disruption of the endometrial-myometrial border during pregnancy as a risk factor for adenomyosis. Am J Obstet Gynecol. 2002 Sep;187(3):543-4. Abstract

6. Naftalin J, Hoo W, Pateman K, et al. How common is adenomyosis? A prospective study of prevalence using transvaginal ultrasound in a gynaecology clinic. Hum Reprod. 2012 Dec;27(12):3432-9. Abstract

7. Pinzauti S, Lazzeri L, Tosti C, et al. Transvaginal sonographic features of diffuse adenomyosis in 18-30-year-old nulligravid women without endometriosis: association with symptoms. Ultrasound Obstet Gynecol. 2015 Dec;46(6):730-6.Full text  Abstract

8. Bourdon M, Santulli P, Marcellin L, et al. Adenomyosis: an update regarding its diagnosis and clinical features. J Gynecol Obstet Hum Reprod. 2021 Dec;50(10):102228. Abstract

9. Taran FA, Stewart EA, Brucker S. Adenomyosis: epidemiology, risk factors, clinical phenotype and surgical and interventional alternatives to hysterectomy. Geburtshilfe Frauenheilkd. 2013 Sep;73(9):924-31.Full text  Abstract

10. Parker JD, Leondires M, Sinaii N, et al. Persistence of dysmenorrhea and nonmenstrual pain after optimal endometriosis surgery may indicate adenomyosis. Fertil Steril. 2006 Sep;86(3):711-5.Full text  Abstract

11. Royal College of Obstetricians and Gynaecologists. The initial management of chronic pelvic pain (Green-top Guideline no. 41). May 2012 [internet publication].Full text

12. Templeman C, Marshall SF, Ursin G, et al. Adenomyosis and endometriosis in the California Teachers Study. Fertil Steril. 2008 Aug;90(2):415-24.Full text  Abstract

13. García-Solares J, Donnez J, Donnez O, et al. Pathogenesis of uterine adenomyosis: invagination or metaplasia? Fertil Steril. 2018 Mar;109(3):371-9.Full text  Abstract

14. Gargett CE, Schwab KE, Zillwood RM, et al. Isolation and culture of epithelial progenitors and mesenchymal stem cells from human endometrium. Biol Reprod. 2009 Jun;80(6):1136-45.Full text  Abstract

15. Zhai J, Vannuccini S, Petraglia F, et al. Adenomyosis: mechanisms and pathogenesis. Semin Reprod Med. 2020 May;38(2-03):129-43.Full text  Abstract

16. Abbott JA. Adenomyosis and abnormal uterine bleeding (AUB-A) - pathogenesis, diagnosis, and management. Best Pract Res Clin Obstet Gynaecol. 2017 Apr;40:68-81. Abstract

17. Isaacson K, Loring M. Symptoms of adenomyosis and overlapping diseases. Semin Reprod Med. 2020 May;38(2-03):144-50. Abstract

18. Cohen I, Beyth Y, Tepper R, et al. Adenomyosis in postmenopausal breast cancer patients treated with tamoxifen: a new entity? Gynecol Oncol. 1995 Jul;58(1):86-91. Abstract

19. Cohen I, Beyth Y, Shapira J, et al. High frequency of adenomyosis in postmenopausal breast cancer patients treated with tamoxifen. Gynecol Obstet Invest. 1997;44(3):200-5. Abstract

20. Kitawaki J, Noguchi T, Amatsu T, et al. Expression of aromatase cytochrome P450 protein and messenger ribonucleic acid in human endometriotic and adenomyotic tissues but not in normal endometrium. Biol Reprod. 1997 Sep;57(3):514-9. Abstract

21. Kitawaki J, Koshiba H, Ishihara H, et al. Progesterone induction of 17beta-hydroxysteroid dehydrogenase type 2 during the secretory phase occurs in the endometrium of estrogen-dependent benign diseases but not in normal endometrium. J Clin Endocrinol Metab. 2000 Sep;85(9):3292-6. Abstract

22. Nie J, Liu X, Guo SW. Promoter hypermethylation of progesterone receptor isoform B (PR-B) in adenomyosis and its rectification by a histone deacetylase inhibitor and a demethylation agent. Reprod Sci. 2010 Nov;17(11):995-1005. Abstract

23. Leyendecker G, Wildt L. A new concept of endometriosis and adenomyosis: tissue injury and repair (TIAR). Horm Mol Biol Clin Investig. 2011 Mar 1;5(2):125-42. Abstract

24. Shaked S, Jaffa AJ, Grisaru D, et al. Uterine peristalsis-induced stresses within the uterine wall may sprout adenomyosis. Biomech Model Mechanobiol. 2015 Jun;14(3):437-44. Abstract

25. Guo SW. The pathogenesis of adenomyosis vis-à-vis endometriosis. J Clin Med. 2020 Feb 10;9(2):485.Full text  Abstract

26. Li T, Li YG, Pu DM. Matrix metalloproteinase-2 and -9 expression correlated with angiogenesis in human adenomyosis. Gynecol Obstet Invest. 2006;62(4):229-35. Abstract

27. Vannuccini S, Tosti C, Carmona F, et al. Pathogenesis of adenomyosis: an update on molecular mechanisms. Reprod Biomed Online. 2017 Nov;35(5):592-601.Full text  Abstract

28. Ferenczy A. Pathophysiology of adenomyosis. Hum Reprod Update. 1998 Jul-Aug;4(4):312-22. Abstract

29. Spencer TE, Hayashi K, Hu J, et al. Comparative developmental biology of the mammalian uterus. Curr Top Dev Biol. 2005;68:85-122. Abstract

30. Enatsu A, Harada T, Yoshida S, et al. Adenomyosis in a patient with the Rokitansky-Kuster-Hauser syndrome. Fertil Steril. 2000 Apr;73(4):862-3.Full text  Abstract

31. Hoo PS, Norhaslinda AR, Reza JN. Rare case of leiomyoma and adenomyosis in Mayer-Rokitansky-Kuster-Hauser syndrome. Case Rep Obstet Gynecol. 2016;2016:3725043.Full text  Abstract

32. Hufnagel D, Li F, Cosar E, et al. The role of stem cells in the etiology and pathophysiology of endometriosis. Semin Reprod Med. 2015 Sep;33(5):333-40.Full text  Abstract

33. Gargett CE. Uterine stem cells: what is the evidence? Hum Reprod Update. 2007 Jan-Feb;13(1):87-101.Full text  Abstract

34. Ibrahim MG, Chiantera V, Frangini S, et al. Ultramicro-trauma in the endometrial-myometrial junctional zone and pale cell migration in adenomyosis. Fertil Steril. 2015 Dec;104(6):1475-83.e1-3.Full text  Abstract

35. Martire FG, Lazzeri L, Conway F, et al. Adolescence and endometriosis: symptoms, ultrasound signs and early diagnosis. Fertil Steril. 2020 Nov;114(5):1049-57.Full text  Abstract

36. Uduwela AS, Perera MA, Aiqing L, et al. Endometrial-myometrial interface: relationship to adenomyosis and changes in pregnancy. Obstet Gynecol Surv. 2000 Jun;55(6):390-400. Abstract

37. Upson K, Missmer SA. Epidemiology of adenomyosis. Semin Reprod Med. 2020 May;38(2-03):89-107.Full text  Abstract

38. Bulun SE, Yildiz S, Adli M, et al. Endometriosis and adenomyosis: shared pathophysiology. Fertil Steril. 2023 May;119(5):746-50.Full text  Abstract

39. Parazzini F, Vercellini P, Panazza S, et al. Risk factors for adenomyosis. Hum Reprod. 1997 Jun;12(6):1275-9. Abstract

40. Vercellini P, Parazzini F, Oldani S, et al. Adenomyosis at hysterectomy: a study on frequency distribution and patient characteristics. Hum Reprod. 1995 May;10(5):1160-2. Abstract

41. Taran FA, Weaver AL, Coddington CC, et al. Characteristics indicating adenomyosis coexisting with leiomyomas: a case-control study. Hum Reprod. 2010 May;25(5):1177-82.Full text  Abstract

42. Jean-Baptiste H, Tetrokalashvili M, Williams T, et al. Characteristics associated with postoperative diagnosis of adenomyosis or combined adenomyosis with fibroids. Int J Gynaecol Obstet. 2013 Aug;122(2):112-4. Abstract

43. Parazzini F, Mais V, Cipriani S, et al. Determinants of adenomyosis in women who underwent hysterectomy for benign gynecological conditions: results from a prospective multicentric study in Italy. Eur J Obstet Gynecol Reprod Biol. 2009 Apr;143(2):103-6. Abstract

44. Panganamamula UR, Harmanli OH, Isik-Akbay EF, et al. Is prior uterine surgery a risk factor for adenomyosis? Obstet Gynecol. 2004 Nov;104(5 pt 1):1034-8. Abstract

45. Trabert B, Weiss NS, Rudra CB, et al. A case-control investigation of adenomyosis: impact of control group selection on risk factor strength. Womens Health Issues. 2011 Mar-Apr;21(2):160-4.Full text  Abstract

46. Nasu K, Takai N, Nishida M, et al. Tumorigenic effects of tamoxifen on the female genital tract. Clin Med Pathol. 2008;1:17-34.Full text  Abstract

47. Ascher SM, Johnson JC, Barnes WA, et al. MR imaging appearance of the uterus in postmenopausal women receiving tamoxifen therapy for breast cancer: histopathologic correlation. Radiology. 1996 Jul;200(1):105-10. Abstract

48. Taran FA, Wallwiener M, Kabashi D, et al. Clinical characteristics indicating adenomyosis at the time of hysterectomy: a retrospective study in 291 patients. Arch Gynecol Obstet. 2012 Jun;285(6):1571-6. Abstract

49. Munro MG, Critchley HOD, Fraser IS, et al. The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions. Int J Gynaecol Obstet. 2018 Dec;143(3):393-408. Abstract

50. American College of Obstetricians and Gynecologists; Committee on Practice Bulletins - Gynecology. Practice bulletin no. 128: diagnosis of abnormal uterine bleeding in reproductive-aged women. Obstet Gynecol. 2012 Jul;120(1):197-206.Full text  Abstract

51. American College of Radiology. ACR appropriateness criteria: abnormal uterine bleeding. 2020 [internet publication].Full text

52. American College of Obstetricians and Gynecologists. ACOG practice bulletin, no. 218: chronic pelvic pain. Obstet Gynecol. 2020 Mar;135(3):e98-109.Full text  Abstract

53. Nelsen LM, Lenderking WR, Pokrzywinski R, et al. Experience of symptoms and disease impact in patients with adenomyosis. Patient. 2018 Jun;11(3):319-28.Full text  Abstract

54. Puente JM, Fabris A, Patel J, et al. Adenomyosis in infertile women: prevalence and the role of 3D ultrasound as a marker of severity of the disease. Reprod Biol Endocrinol. 2016 Sep 20;14(1):60.Full text  Abstract

55. Nirgianakis K, Kalaitzopoulos DR, Schwartz ASK, et al. Fertility, pregnancy and neonatal outcomes of patients with adenomyosis: a systematic review and meta-analysis. Reprod Biomed Online. 2021 Jan;42(1):185-206.Full text  Abstract

56. Vercellini P, Consonni D, Dridi D, et al. Uterine adenomyosis and in vitro fertilization outcome: a systematic review and meta-analysis. Hum Reprod. 2014 May;29(5):964-77. Abstract

57. Jain V, Munro MG, Critchley HOD. Contemporary evaluation of women and girls with abnormal uterine bleeding: FIGO Systems 1 and 2. Int J Gynaecol Obstet. 2023 Aug;162 Suppl 2(suppl 2):29-42.Full text  Abstract

58. O'Shea A, Figueiredo G, Lee SI. Imaging diagnosis of adenomyosis. Semin Reprod Med. 2020 May;38(2-03):119-28. Abstract

59. Andres MP, Borrelli GM, Ribeiro J, et al. Transvaginal ultrasound for the diagnosis of adenomyosis: systematic review and meta-analysis. J Minim Invasive Gynecol. 2018 Feb;25(2):257-64. Abstract

60. Moorthy RS. Transvaginal sonography. Med J Armed Forces India. 2000 Jul;56(3):181-3.Full text  Abstract

61. Van den Bosch T, Dueholm M, Leone FP, et al. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound Obstet Gynecol. 2015 Sep;46(3):284-98.Full text  Abstract

62. Harmsen MJ, Van den Bosch T, de Leeuw RA, et al. Consensus on revised definitions of Morphological Uterus Sonographic Assessment (MUSA) features of adenomyosis: results of modified Delphi procedure. Ultrasound Obstet Gynecol. 2022 Jul;60(1):118-31.Full text  Abstract

63. Bazot M, Cortez A, Darai E, et al. Ultrasonography compared with magnetic resonance imaging for the diagnosis of adenomyosis: correlation with histopathology. Hum Reprod. 2001 Nov;16(11):2427-33. Abstract

64. Cunningham RK, Horrow MM, Smith RJ, et al. Adenomyosis: a sonographic diagnosis. Radiographics. 2018 Sep-Oct;38(5):1576-89. Abstract

65. Chin LHQ, Li YL, Lee KH. Venetian blind shadowing on ultrasound. Abdom Radiol (NY). 2019 Feb;44(2):796-7. Abstract

66. Tellum T, Nygaard S, Lieng M. Noninvasive diagnosis of adenomyosis: a structured review and meta-analysis of diagnostic accuracy in imaging. J Minim Invasive Gynecol. 2020 Feb;27(2):408-18.e3. Abstract

67. Liu L, Li W, Leonardi M, et al. Diagnostic accuracy of transvaginal ultrasound and magnetic resonance imaging for adenomyosis: systematic review and meta-analysis and review of sonographic diagnostic criteria. J Ultrasound Med. 2021 Nov;40(11):2289-306. Abstract

68. Champaneria R, Abedin P, Daniels J, et al. Ultrasound scan and magnetic resonance imaging for the diagnosis of adenomyosis: systematic review comparing test accuracy. Acta Obstet Gynecol Scand. 2010 Nov;89(11):1374-84.Full text  Abstract

69. Novellas S, Chassang M, Delotte J, et al. MRI characteristics of the uterine junctional zone: from normal to the diagnosis of adenomyosis. AJR Am J Roentgenol. 2011 May;196(5):1206-13.Full text  Abstract

70. Tamai K, Togashi K, Ito T, et al. MR imaging findings of adenomyosis: correlation with histopathologic features and diagnostic pitfalls. Radiographics. 2005 Jan-Feb;25(1):21-40. Abstract

71. Agostinho L, Cruz R, Osório F, et al. MRI for adenomyosis: a pictorial review. Insights Imaging. 2017 Dec;8(6):549-56.Full text  Abstract

72. Takeuchi M, Matsuzaki K. Adenomyosis: usual and unusual imaging manifestations, pitfalls, and problem-solving MR imaging techniques. Radiographics. 2011 Jan-Feb;31(1):99-115. Abstract

73. Bazot M, Daraï E. Role of transvaginal sonography and magnetic resonance imaging in the diagnosis of uterine adenomyosis. Fertil Steril. 2018 Mar;109(3):389-97.Full text  Abstract

74. Davarpanah AH, Kambadakone A, Holalkere NS, et al. Diffusion MRI of uterine and ovarian masses: identifying the benign lesions. Abdom Radiol (NY). 2016 Dec;41(12):2466-75. Abstract

75. McDermott S, Oei TN, Iyer VR, et al. MR imaging of malignancies arising in endometriomas and extraovarian endometriosis. Radiographics. 2012 May-Jun;32(3):845-63. Abstract

76. Jha RC, Zanello PA, Ascher SM, et al. Diffusion-weighted imaging (DWI) of adenomyosis and fibroids of the uterus. Abdom Imaging. 2014 Jun;39(3):562-9. Abstract

77. Rees CO, Nederend J, Mischi M, et al. Objective measures of adenomyosis on MRI and their diagnostic accuracy - a systematic review & meta-analysis. Acta Obstet Gynecol Scand. 2021 Aug;100(8):1377-91.Full text  Abstract

78. Gunther R, Walker C. Adenomyosis. In: National Library of Medicine: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025.Full text  Abstract

79. Munro MG. Classification and reporting systems for adenomyosis. J Minim Invasive Gynecol. 2020 Feb;27(2):296-308. Abstract

80. Simpson WL Jr, Beitia LG, Mester J. Hysterosalpingography: a reemerging study. Radiographics. 2006 Mar-Apr;26(2):419-31. Abstract

81. Movilla P, Morris S, Isaacson K. A systematic review of tissue sampling techniques for the diagnosis of adenomyosis. J Minim Invasive Gynecol. 2020 Feb;27(2):344-51. Abstract

82. Jeng CJ, Huang SH, Shen J, et al. Laparoscopy-guided myometrial biopsy in the definite diagnosis of diffuse adenomyosis. Hum Reprod. 2007 Jul;22(7):2016-9. Abstract

83. Marques ALS, Andres MP, Mattos LA, et al. Association of 2D and 3D transvaginal ultrasound findings with adenomyosis in symptomatic women of reproductive age: a prospective study. Clinics (Sao Paulo). 2021 Aug 16;76:e2981.Full text  Abstract

84. Chou AJ, Bing RS, Ding DC. Endometrial atypical hyperplasia and risk of endometrial cancer. Diagnostics (Basel). 2024 Nov 5;14(22):2471.Full text  Abstract

85. Emons G, Beckmann MW, Schmidt D, et al. New WHO classification of endometrial hyperplasias. Geburtshilfe Frauenheilkd. 2015 Feb;75(2):135-6.Full text  Abstract

86. McElin TW, Bird CC. Adenomyosis of the uterus. Obstet Gynecol Annu. 1974;3(0):425-41. Abstract

87. Allaire C, Yong PJ, Bajzak K, et al. Guideline no. 445: management of chronic pelvic pain. J Obstet Gynaecol Can. 2024 Jan;46(1):102283.Full text  Abstract

88. American College of Obstetricians and Gynecologists. ACOG committee opinion no. 557: management of acute abnormal uterine bleeding in nonpregnant reproductive-aged women. Obstet Gynecol. 2013 Apr;121(4):891-6.Full text  Abstract

89. Bofill Rodriguez M, Dias S, Jordan V, et al. Interventions for heavy menstrual bleeding; overview of Cochrane reviews and network meta-analysis. Cochrane Database Syst Rev. 2022 May 31;(5):CD013180.Full text  Abstract

90. Bofill Rodriguez M, Lethaby A, Jordan V. Progestogen-releasing intrauterine systems for heavy menstrual bleeding. Cochrane Database Syst Rev. 2020 Jun 12;(6):CD002126.Full text  Abstract

91. Imai A, Matsunami K, Takagi H, et al. Levonorgestrel-releasing intrauterine device used for dysmenorrhea: five-year literature review. Clin Exp Obstet Gynecol. 2014;41(5):495-8. Abstract

92. Sheng J, Zhang WY, Zhang JP, et al. The LNG-IUS study on adenomyosis: a 3-year follow-up study on the efficacy and side effects of the use of levonorgestrel intrauterine system for the treatment of dysmenorrhea associated with adenomyosis. Contraception. 2009 Mar;79(3):189-93. Abstract

93. Park DS, Kim ML, Song T, et al. Clinical experiences of the levonorgestrel-releasing intrauterine system in patients with large symptomatic adenomyosis. Taiwan J Obstet Gynecol. 2015 Aug;54(4):412-5.Full text  Abstract

94. Bragheto AM, Caserta N, Bahamondes L, et al. Effectiveness of the levonorgestrel-releasing intrauterine system in the treatment of adenomyosis diagnosed and monitored by magnetic resonance imaging. Contraception. 2007 Sep;76(3):195-9. Abstract

95. Choi YS, Cho S, Lim KJ, et al. Effects of LNG-IUS on nerve growth factor and its receptors expression in patients with adenomyosis. Growth Factors. 2010 Dec;28(6):452-60. Abstract

96. Ozdegirmenci O, Kayikcioglu F, Akgul MA, et al. Comparison of levonorgestrel intrauterine system versus hysterectomy on efficacy and quality of life in patients with adenomyosis. Fertil Steril. 2011 Feb;95(2):497-502.Full text  Abstract

97. Shaaban OM, Ali MK, Sabra AM, et al. Levonorgestrel-releasing intrauterine system versus a low-dose combined oral contraceptive for treatment of adenomyotic uteri: a randomized clinical trial. Contraception. 2015 Oct;92(4):301-7. Abstract

98. Cope AG, Ainsworth AJ, Stewart EA. Current and future medical therapies for adenomyosis. Semin Reprod Med. 2020 May;38(2-03):151-6. Abstract

99. Sharafi K, Kunze K, Nosher JL, et al. Symptomatic fibroids: the need to include low dose OCPs as a treatment option. Prim Care Update OB GYNS. 2000 Jan;7(1):46-8.​Full text

100. Yamanaka A, Kimura F, Kishi Y, et al. Progesterone and synthetic progestin, dienogest, induce apoptosis of human primary cultures of adenomyotic stromal cells. Eur J Obstet Gynecol Reprod Biol. 2014 Aug;179:170-4.Full text  Abstract

101. Vannuccini S, Luisi S, Tosti C, et al. Role of medical therapy in the management of uterine adenomyosis. Fertil Steril. 2018 Mar;109(3):398-405.Full text  Abstract

102. Miller L, Hughes JP. Continuous combination oral contraceptive pills to eliminate withdrawal bleeding: a randomized trial. Obstet Gynecol. 2003 Apr;101(4):653-61. Abstract

103. Muneyyirci-Delale O, Chandrareddy A, Mankame S, et al. Norethindrone acetate in the medical management of adenomyosis. Pharmaceuticals (Basel). 2012 Oct 22;5(10):1120-7.Full text  Abstract

104. Fawzy M, Mesbah Y. Comparison of dienogest versus triptorelin acetate in premenopausal women with adenomyosis: a prospective clinical trial. Arch Gynecol Obstet. 2015 Dec;292(6):1267-71. Abstract

105. Hirata T, Izumi G, Takamura M, et al. Efficacy of dienogest in the treatment of symptomatic adenomyosis: a pilot study. Gynecol Endocrinol. 2014 Oct;30(10):726-9. Abstract

106. Osuga Y, Fujimoto-Okabe H, Hagino A. Evaluation of the efficacy and safety of dienogest in the treatment of painful symptoms in patients with adenomyosis: a randomized, double-blind, multicenter, placebo-controlled study. Fertil Steril. 2017 Oct;108(4):673-8.Full text  Abstract

107. Neriishi K, Hirata T, Fukuda S, et al. Long-term dienogest administration in patients with symptomatic adenomyosis. J Obstet Gynaecol Res. 2018 Aug;44(8):1439-44. Abstract

108. Marjoribanks J, Ayeleke RO, Farquhar C, et al. Nonsteroidal anti-inflammatory drugs for dysmenorrhoea. Cochrane Database Syst Rev. 2015 Jul 30;(7):CD001751.Full text  Abstract

109. Etrusco A, Barra F, Chiantera V, et al. Current medical therapy for adenomyosis: from bench to bedside. Drugs. 2023 Nov;83(17):1595-611.Full text  Abstract

110. Bofill Rodriguez M, Lethaby A, Farquhar C. Non-steroidal anti-inflammatory drugs for heavy menstrual bleeding. Cochrane Database Syst Rev. 2019 Sep 19;(9):CD000400.Full text  Abstract

111. Gleeson NC, Buggy F, Sheppard BL, et al. The effect of tranexamic acid on measured menstrual loss and endometrial fibrinolytic enzymes in dysfunctional uterine bleeding. Acta Obstet Gynecol Scand. 1994 Mar;73(3):274-7. Abstract

112. Ishihara H, Kitawaki J, Kado N, et al. Gonadotropin-releasing hormone agonist and danazol normalize aromatase cytochrome P450 expression in eutopic endometrium from women with endometriosis, adenomyosis, or leiomyomas. Fertil Steril. 2003 Mar;79 Suppl 1:735-42.Full text  Abstract

113. Khan KN, Kitajima M, Hiraki K, et al. Changes in tissue inflammation, angiogenesis and apoptosis in endometriosis, adenomyosis and uterine myoma after GnRH agonist therapy. Hum Reprod. 2010 Mar;25(3):642-53. Abstract

114. Badawy AM, Elnashar AM, Mosbah AA. Aromatase inhibitors or gonadotropin-releasing hormone agonists for the management of uterine adenomyosis: a randomized controlled trial. Acta Obstet Gynecol Scand. 2012 Apr;91(4):489-95.Full text  Abstract

115. Sauerbrun-Cutler MT, Alvero R. Short- and long-term impact of gonadotropin-releasing hormone analogue treatment on bone loss and fracture. Fertil Steril. 2019 Nov;112(5):799-803.Full text  Abstract

116. Streuli I, Dubuisson J, Santulli P, et al. An update on the pharmacological management of adenomyosis. Expert Opin Pharmacother. 2014 Nov;15(16):2347-60. Abstract

117. Wang PH, Yang TS, Lee WL, et al. Treatment of infertile women with adenomyosis with a conservative microsurgical technique and a gonadotropin-releasing hormone agonist. Fertil Steril. 2000 May;73(5):1061-2.Full text  Abstract

118. Huang BS, Seow KM, Tsui KH, et al. Fertility outcome of infertile women with adenomyosis treated with the combination of a conservative microsurgical technique and GnRH agonist: long-term follow-up in a series of nine patients. Taiwan J Obstet Gynecol. 2012 Jun;51(2):212-6.Full text  Abstract

119. Ozaki T, Takahashi K, Okada M, et al. Live birth after conservative surgery for severe adenomyosis following magnetic resonance imaging and gonadotropin-releasing hormone agonist therapy. Int J Fertil Womens Med. 1999 Sep-Oct;44(5):260-4. Abstract

120. Younes G, Tulandi T. Effects of adenomyosis on in vitro fertilization treatment outcomes: a meta-analysis. Fertil Steril. 2017 Sep;108(3):483-90.e3.Full text  Abstract

121. Cozzolino M, Tartaglia S, Pellegrini L, et al. The effect of uterine adenomyosis on IVF outcomes: a systematic review and meta-analysis. Reprod Sci. 2022 Nov;29(11):3177-93. Abstract

122. Stewart EA, Missmer SA, Rocca WA. Moving beyond reflexive and prophylactic gynecologic surgery. Mayo Clin Proc. 2021 Feb;96(2):291-4.Full text  Abstract

123. American College of Obstetricians and Gynecologists. Committee opinion no 701: choosing the route of hysterectomy for benign disease. Obstet Gynecol. 2017 Jun;129(6):e155-9.Full text  Abstract

124. Taran FA, Weaver AL, Coddington CC, et al. Understanding adenomyosis: a case control study. Fertil Steril. 2010 Sep;94(4):1223-8.Full text  Abstract

125. Baekelandt J. Total vaginal NOTES hysterectomy: a new approach to hysterectomy. J Minim Invasive Gynecol. 2015 Sep-Oct;22(6):1088-94. Abstract

126. Chen J, Porter AE, Kho KA. Current and future surgical and interventional management options for adenomyosis. Semin Reprod Med. 2020 May;38(2-03):157-67. Abstract

127. Knaepen S, van Calenbergh S. First-generation endometrial ablation revisited: retrospective outcome study - a series of 218 patients with premenopausal dysfunctional bleeding​. Gynecol Surg. 2015 Jul 9;12(4):291-7.Full text

128. Liu L, Wang T, Lei B. Image-guided thermal ablation in the management of symptomatic adenomyosis: a systematic review and meta-analysis. Int J Hyperthermia. 2021;38(1):948-62.Full text  Abstract

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