Prevalence of adenomyosis in women undergoing surgery for endometriosis

Donato, Nadine Di; Montanari, Giulia; Benfenati, A.; Leonardi, Debora; Bertoldo, Valentina; Monti, Giorgia; Raimondo, Diego; Seracchioli, Renato

doi:10.1016/j.ejogrb.2014.08.016

Cited by 134 publications

(111 citation statements)

References 28 publications

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“…It is well known that there is a strong association between endometriosis and adenomyosis 16 . The reported prevalence of adenomyosis in patients affected by endometriosis ranges widely between 20% and 50% [17][18][19] and its association seems to be related to increasing age, parity, dysmenorrhea intensity and presence of deep infiltrating endometriosis (DIE) 20 . Previous studies also showed that women with adenomyosis are at increased risk of some adverse pregnancy outcomes, such as preterm delivery, preterm prelabor rupture of membrane, SGA and fetal malpresentation [21][22][23] .…”

Section: Introductionmentioning

confidence: 99%

Influence of adenomyosis on pregnancy and perinatal outcomes in women with endometriosis

Scala

Maggiore

Racca

et al. 2018

Ultrasound in Obstet & Gyne

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Section: Introductionmentioning

confidence: 99%

Influence of adenomyosis on pregnancy and perinatal outcomes in women with endometriosis

Scala

Maggiore

Racca

et al. 2018

Ultrasound in Obstet & Gyne

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“…It was noted that women with a past or current history of endometriosis were more likely to have adenomyosis, 9 and retrospective data found a prevalence of 21.8% in women undergoing surgery for endometriosis. 10 …”

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confidence: 99%

MR-guided focused ultrasound for the treatment of adenomyosis: current insights

Chin¹,

Walbridge²,

Quinn³

2015

RRFU

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Adenomyosis is a benign gynecological condition causing significant morbidity among women of reproductive age. The available treatments are currently limited in number and efficacy. While hysterectomy is curative, it is unacceptable to many women, particularly those wishing to conserve their fertility. Magnetic resonance-guided focused ultrasound surgery is a noninvasive treatment method that has been used to effectively treat uterine leiomyomata, but until recently has not been routinely used to treat adenomyosis. This review summarizes the current understanding of adenomyosis and high-intensity focused ultrasound, and the recent research into the safety and efficacy of this technique.

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“…In addition, endometriomas may interfere with folliculogenesis and result in poor oocyte and embryo quality and impair ovarian response and pregnancy rates in IVF (Ballester et al , 2012; Yang et al , 2015). Adenomyosis, a finding more frequent in women with DIE than other forms of endometriosis, might also significantly reduce (68%) the likelihood of pregnancy in women attempting conception after surgery for rectovaginal or colorectal endometriosis (Di Donato et al , 2014; Vercellini et al , 2014). And last but not least, published data suggests the endometrium itself harbors several anomalies in women with endometriosis, which result in reduced endometrial receptivity and decreased implantation rates (Gupta et al , 2008; de Ziegler et al , 2010).…”

Section: Resultsmentioning

confidence: 99%

To operate or not to operate on women with deep infiltrating endometriosis (DIE) before in vitro fertilization (IVF)

Carneiro¹,

Costa²,

Ávila³

2017

JBRA Assisted Reproduction

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Deep infiltrating endometriosis (DIE) can cause infertility and pelvic pain. There is little evidence of a clear connection between DIE and infertility, and the absolute benefits of surgery for DIE have not been established. This paper aimed to review the current literature on the effect of surgery for DIE on fertility, pregnancy, and IVF outcomes. Clinicians should bear in mind that a comprehensive clinical history is useful to identify patients at risk for endometriosis, although many women remain asymptomatic. Imaging can be useful to plan surgery. The effect of surgery on the fertility of women with DIE remains unanswered due to the heterogeneous nature of the disease and the lack of trials with enough statistical power and adequate follow-up. Surgery is not recommended when the main goal is to treat infertility or to improve IVF results. Decisions should be tailored according to the individual needs of each woman. Patients must be provided information on the potential benefits, harm, and costs of each treatment alternative, while the medical team observes factors such as presence of pelvic pain, patient age, lesion location, and previous treatments. In this scenario, management by a multidisciplinary endometriosis team is a key step to achieving successful outcomes.

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Prevalence of adenomyosis in women undergoing surgery for endometriosis

Cited by 134 publications

References 28 publications

Influence of adenomyosis on pregnancy and perinatal outcomes in women with endometriosis

Influence of adenomyosis on pregnancy and perinatal outcomes in women with endometriosis

MR-guided focused ultrasound for the treatment of adenomyosis: current insights

To operate or not to operate on women with deep infiltrating endometriosis (DIE) before in vitro fertilization (IVF)

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