Current and Future Surgical and Interventional Management Options for Adenomyosis

Joseph Chen, Anne E. Porter, Kimberly A. Kho

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Historically, hysterectomy has been the recommended treatment for patients with adenomyosis. However, in the past two decades, various uterine-sparing treatment methods have emerged. These range from excisional techniques such as adenomyomectomy or wedge resection to uterine artery embolization, radiofrequency thermal ablation, hysteroscopic excision, endometrial ablation, and high-intensity focused ultrasound. While largely investigative for the treatment of adenomyosis, these procedures have demonstrated improvement in symptoms including abnormal uterine bleeding, dysmenorrhea, pelvic pain, and overall quality of life. However, long-term data including fertility and obstetric outcomes are needed. Future research is needed to better understand the impact of these uterine-preserving techniques to expand our armamentarium for the treatment of adenomyosis.

Original languageEnglish (US)
Pages (from-to)157-167
Number of pages11
JournalSeminars in reproductive medicine
Volume38
Issue number2-3
DOIs
StatePublished - May 1 2020

Keywords

  • adenomyomectomy
  • adenomyosis
  • high-intensity focused ultrasound
  • outcomes
  • radiofrequency thermal ablation
  • surgery
  • uterine artery embolization
  • uterine preservation

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Reproductive Medicine
  • Endocrinology
  • Obstetrics and Gynecology
  • Physiology (medical)

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