Obstetrics and Gynecology/Adenomyosis

Definition Adenomyosis is defined as the growth of endometrial glandular and stromal tissue within the myometrium. Epidemiology Adenomyosis occurs in 10-20% of women. There is a preponderance for adenomyosis in women over the age of 40. Etiology, Risk Factors, and Pathophysiology Adenomyosis occurs due to the growth of endometrium inwards (to the myometrial-endometrial interface) Clinical Presentation and Diagnostic Approach Adenomyosis typically presents with Dysmenorrhea and menorrhagia Enlarged, tender uterus Suggestive MRI/CT scanning Diagnosis of adenomyosis is done through hysterectomy. Management Hysterectomy is the only effective therapy for adenomyosis.