Diagnosis of uterine adenomyosis in patients of reproductive age

L. Cosma, C. Gică, G. Iancu, R. Botezatu, G. Peltecu, A.M. Panaitescu, N. Gică

Rezumat: Uterine adenomyosis is a gynecologic condition characterized by the presence of islands of ectopic endometrial tissue inside the myometrium. This disease affects 20% of women of reproductive age, causing pelvic pain, abnormal uterine bleeding and infertility. This paper is a review based on information found in literature. The analysis was limited to articles in English language published between January 1st, 2000 and November 13th, 2019 on PubMed. In this review, we discuss the current trends in the management of uterine adenomyosis, especially ultrasound and MRI diagnosis. Adenomyosis remains an underdiagnosed condition. Through a careful description of the sonographic aspects of adenomyosis and using a standardized classification, we can improve the diagnosis rates in women of reproductive age.
Cuvinte cheie: adenomyosis, transvaginal ultrasonography, magnetic resonance