Operative Management of Adenomyosis

The complex pathogenesis of adenomyosis makes it one of the most difficult groups of FIGO PALM-COEIN abnormal uterine bleeding to diagnose and treat. Clinical symptoms of pain, abnormal uterine bleeding, and subfertility are the main symptoms of adenomyosis. Treatment is aimed at managing symptoms and improving fertility. Management by hysterectomy is not always desirable for women and it is often unreasonable to consider this radical option. Treatment requires a lifelong management plan because this disease negatively impacts the quality of life from menstrual symptoms, fertility, pregnancy outcome, as well as a high risk for miscarriage and obstetric complications.