Skip to main content

Adenomyosis

Bradley M. Turner, MD, MPH, MHA Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Benign invasion of the endometrium into the myometrium, producing a diffusely enlarged uterus

  • Microscopically, there are ectopic, nonneoplastic endometrial glands and stroma surrounde...

DIAGNOSIS

Pelvic pain, dysmenorrhea, and an enlarged uterus are the usual cues that prompt imaging by ultrasound or MRI; endometrial or uterine biopsies may be indicated in some cases. 

HISTORY

  • Presenti...

TREATMENT

  • The mainstay of treatment has been surgical therapy.

  • Medical therapy shows promise in certain patients.

MEDICATION

Continuous use of oral contraceptive pills, high-dose progestins, and selectiv...

ONGOING CARE

PATIENT EDUCATION

PROGNOSIS

  • Adenomyosis is a benign proliferation of endometrial tissue.

  • Symptoms u...

REFERENCES

1
1 Taran FA, Stewart EA, Brucker S. Adenomyosis: epidemiology, risk factors, clinical phenotype and surgical and interventional alternatives to hysterectomy. Geburtshilfe Frauenheilkd. ...

ADDITIONAL READING

  • Bae SH, Kim MD, Kim GM, et al. Uterine artery embolization for adenomyosis: percentage of necrosis predicts midterm clinical recurrence. J Vasc Interv Radiol.  2015;26(9):1290....

CODES

ICD10

N80.0 Endometriosis of uterus 

ICD9

617.0 Endometriosis of uterus 

SNOMED

  • 76376003 endometriosis of uterus (disorder)

  • 237115002 Endometriosis of myometrium (disorder)

CLINICAL PEARLS

  • Adenomyosis is often asymptomatic.

  • Both TVUS and MRI are very accurate for the diagnosis of adenomyosis.

  • MRI is more sensitive than TVUS, particularly in differentiating adenomyosis from...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×