Last modified on 23 November 2010, at 13:29

Obstetrics and Gynecology/Adenomyosis

DefinitionEdit

Adenomyosis is defined as the growth of endometrial glandular and stromal tissue within the myometrium.

EpidemiologyEdit

  • Adenomyosis occurs in 10-20% of women.
  • There is a preponderance for adenomyosis in women over the age of 40.

Etiology, Risk Factors, and PathophysiologyEdit

  • Adenomyosis occurs due to the growth of endometrium inwards (to the myometrial-endometrial interface)

Clinical Presentation and Diagnostic ApproachEdit

Adenomyosis typically presents with

  • Dysmenorrhea and menorrhagia
  • Enlarged, tender uterus
  • Suggestive MRI/CT scanning

Diagnosis of adenomyosis is done through hysterectomy.

ManagementEdit

Hysterectomy is the only effective therapy for adenomyosis.