Current diagnostic and treatment strategies for adenomyosis

Jehn Hsiahn Yang, Hong Nerng ho, yu Shih Yang

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Adenomyosis is a common gynecological disorder that is characterized by the presence of ectopic endometrial glands and stroma embedded within the myometrium with adjacent smooth muscle hyperplasia. Menorrhagia, dysmenorrhea, metrorrhagia and dyspareunia are the presenting symptoms most often seen. The underlying etiology of adenomyosis is not fully known as yet. Therefore, the treatment of adenomyosis is also not yet optimal. Transvaginal sonography and magnetic resonance imaging are the two main tools for providing images that suggest adenomyosis, although a confirmed diagnosis can only be made after pathological examination of a hysterectomy specimen. The definitive treatment for adenomyosis is hysterectomy but, initially, less-invasive approaches should be tried, including oral contraceptives, progestins, danazol, gonadotropin-releasing hormone agonist, the levonorgestrel-releasing intrauterine system, myometrial excision and uterine artery embolization.

Original languageEnglish
Pages (from-to)111-120
Number of pages10
JournalExpert Review of Obstetrics and Gynecology
Volume1
Issue number1
DOIs
Publication statusPublished - Sep 1 2006
Externally publishedYes

Fingerprint

Adenomyosis
Hysterectomy
Uterine Artery Embolization
Danazol
Dyspareunia
Therapeutics
Menorrhagia
Levonorgestrel
Dysmenorrhea
Metrorrhagia
Myometrium
Progestins
Oral Contraceptives
Gonadotropin-Releasing Hormone
Hyperplasia
Smooth Muscle
Ultrasonography
Magnetic Resonance Imaging

Keywords

  • adenomyosis
  • danazol
  • gonadotropin-releasing hormone agonist
  • hysterectomy
  • levonorgestrel-releasing intrauterine system
  • magnetic resonance imaging
  • myometrial excision
  • transvaginal sonography
  • uterine artery embolization

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Reproductive Medicine
  • Obstetrics and Gynaecology
  • Maternity and Midwifery

Cite this

Current diagnostic and treatment strategies for adenomyosis. / Yang, Jehn Hsiahn; ho, Hong Nerng; Yang, yu Shih.

In: Expert Review of Obstetrics and Gynecology, Vol. 1, No. 1, 01.09.2006, p. 111-120.

Research output: Contribution to journalArticle

Yang, Jehn Hsiahn ; ho, Hong Nerng ; Yang, yu Shih. / Current diagnostic and treatment strategies for adenomyosis. In: Expert Review of Obstetrics and Gynecology. 2006 ; Vol. 1, No. 1. pp. 111-120.
@article{b1984d6c068b4a7d815c38329fe4bd82,
title = "Current diagnostic and treatment strategies for adenomyosis",
abstract = "Adenomyosis is a common gynecological disorder that is characterized by the presence of ectopic endometrial glands and stroma embedded within the myometrium with adjacent smooth muscle hyperplasia. Menorrhagia, dysmenorrhea, metrorrhagia and dyspareunia are the presenting symptoms most often seen. The underlying etiology of adenomyosis is not fully known as yet. Therefore, the treatment of adenomyosis is also not yet optimal. Transvaginal sonography and magnetic resonance imaging are the two main tools for providing images that suggest adenomyosis, although a confirmed diagnosis can only be made after pathological examination of a hysterectomy specimen. The definitive treatment for adenomyosis is hysterectomy but, initially, less-invasive approaches should be tried, including oral contraceptives, progestins, danazol, gonadotropin-releasing hormone agonist, the levonorgestrel-releasing intrauterine system, myometrial excision and uterine artery embolization.",
keywords = "adenomyosis, danazol, gonadotropin-releasing hormone agonist, hysterectomy, levonorgestrel-releasing intrauterine system, magnetic resonance imaging, myometrial excision, transvaginal sonography, uterine artery embolization",
author = "Yang, {Jehn Hsiahn} and ho, {Hong Nerng} and Yang, {yu Shih}",
year = "2006",
month = "9",
day = "1",
doi = "10.1586/17474108.1.1.111",
language = "English",
volume = "1",
pages = "111--120",
journal = "Expert Review of Obstetrics and Gynecology",
issn = "1747-4108",
publisher = "Expert Reviews Ltd.",
number = "1",

}

TY - JOUR

T1 - Current diagnostic and treatment strategies for adenomyosis

AU - Yang, Jehn Hsiahn

AU - ho, Hong Nerng

AU - Yang, yu Shih

PY - 2006/9/1

Y1 - 2006/9/1

N2 - Adenomyosis is a common gynecological disorder that is characterized by the presence of ectopic endometrial glands and stroma embedded within the myometrium with adjacent smooth muscle hyperplasia. Menorrhagia, dysmenorrhea, metrorrhagia and dyspareunia are the presenting symptoms most often seen. The underlying etiology of adenomyosis is not fully known as yet. Therefore, the treatment of adenomyosis is also not yet optimal. Transvaginal sonography and magnetic resonance imaging are the two main tools for providing images that suggest adenomyosis, although a confirmed diagnosis can only be made after pathological examination of a hysterectomy specimen. The definitive treatment for adenomyosis is hysterectomy but, initially, less-invasive approaches should be tried, including oral contraceptives, progestins, danazol, gonadotropin-releasing hormone agonist, the levonorgestrel-releasing intrauterine system, myometrial excision and uterine artery embolization.

AB - Adenomyosis is a common gynecological disorder that is characterized by the presence of ectopic endometrial glands and stroma embedded within the myometrium with adjacent smooth muscle hyperplasia. Menorrhagia, dysmenorrhea, metrorrhagia and dyspareunia are the presenting symptoms most often seen. The underlying etiology of adenomyosis is not fully known as yet. Therefore, the treatment of adenomyosis is also not yet optimal. Transvaginal sonography and magnetic resonance imaging are the two main tools for providing images that suggest adenomyosis, although a confirmed diagnosis can only be made after pathological examination of a hysterectomy specimen. The definitive treatment for adenomyosis is hysterectomy but, initially, less-invasive approaches should be tried, including oral contraceptives, progestins, danazol, gonadotropin-releasing hormone agonist, the levonorgestrel-releasing intrauterine system, myometrial excision and uterine artery embolization.

KW - adenomyosis

KW - danazol

KW - gonadotropin-releasing hormone agonist

KW - hysterectomy

KW - levonorgestrel-releasing intrauterine system

KW - magnetic resonance imaging

KW - myometrial excision

KW - transvaginal sonography

KW - uterine artery embolization

UR - http://www.scopus.com/inward/record.url?scp=68349144024&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=68349144024&partnerID=8YFLogxK

U2 - 10.1586/17474108.1.1.111

DO - 10.1586/17474108.1.1.111

M3 - Article

AN - SCOPUS:68349144024

VL - 1

SP - 111

EP - 120

JO - Expert Review of Obstetrics and Gynecology

JF - Expert Review of Obstetrics and Gynecology

SN - 1747-4108

IS - 1

ER -