Obstetrics and Gynecology/Adenomyosis
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.