Actual considerations concerning the contribution of histeroscopy to diagnosis and treatment of adenomyosis in infertile patients

E.A. Bordea, A.Carp-Velișcu, C.. Odukoya, D. Mihai, B. Marinescu, E. Brătilă

Rezumat: Introduction and objective. A classical histological definition for adenomyosis is the invasion of the gland or endometrial stroma miometer, more than 2,5 mm from the junctional area, accompanied by the adjacent muscular tissue hyperplasia. Adenomyosis is a gynecological pathology commonly found in women of reproductive age and is a frequent cause of infertility. Hysteroscopy is not the primary diagnostic and therapeutic method for adenomyosis, but may be useful in some cases. Methodology. This paper is a systematic review of the literature which aims to highlight the role of hysteroscopy in the diagnosis and treatment of adenomyosis in infertile patients. Results. Hysteroscopy is a useful therapeutic and diagnostic method for infertile patients with adenomyosis, as many specialized studies show. Conclusions and discussion. Hysteroscopy is a useful method of diagnosis and treatment only in well-selected cases of focal and diffuse superficial adenomyosis. Exploring the uterus should not be limited to hysteroscopy in infertile patients with adenomyosis.
Cuvinte cheie: adenomyosis, hysteroscopy, infertility, IVF, ICSI.