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

E.A. Bordea; Andreea Carp-Velişcu; Cristiana Odukoya; Diana Mihai; Bogdan Marinescu; Elvira Brătilă

doi:10.26416/gine.25.3.2019.2496

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

E.A. Bordea, Andreea Carp-Velişcu, Cristiana Odukoya, Diana Mihai, Bogdan Marinescu, Elvira Brătilă

In: Ginecologia.ro · 2019 · vol. 3(25) , pp. 36 · doi:10.26416/gine.25.3.2019.2496 · W3000262377

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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This systematic review concludes that hysteroscopy is a useful diagnostic and therapeutic tool for selected infertile patients with superficial or focal adenomyosis.

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Abstract

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.

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adenomyosisinfertility

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Cell proliferation effect of GnRH agonist on pathological lesions of women with endometriosis, adenomyosis and uterine myoma via openalex
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Conservative surgical treatment of adenomyosis to improve fertility: Controversial values, indications, complications, and pregnancy outcomes via openalex
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Duration of dysmenorrhoea and extent of adenomyosis visualised by magnetic resonance imaging via openalex
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Three-Dimensional Ultrasound in Diagnosis of Adenomyosis: Histologic Correlation With Ultrasound Targeted Biopsies of the Uterus via openalex
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[1] Adenomyosis and adverse perinatal outcomes: increased risk of second trimester miscarriage, preeclampsia, and placental malposition via openalex

[2] Adenomyosis and IVF/ICSI treatment: clinical considerations and recommendations via openalex

[3] Adenomyosis and subfertility: a systematic review of prevalence, diagnosis, treatment and fertility outcomes via openalex

[4] Adenomyosis as a disorder of the early and late human reproductive period via openalex

[5] Adenomyosis: epidemiological factors via openalex

[6] Adenomyosis: prevalence, risk factors, symptoms and clinical findings. via openalex

[7] Adenomyosis reduces pregnancy rates in infertile women undergoing IVF via openalex

[8] Adenomyosis: the pathophysiology of an oestrogen-dependent disease via openalex

[9] Asymptomatic adenomyosis and embryo implantation in IVF cycles via openalex

[10] Cell proliferation effect of GnRH agonist on pathological lesions of women with endometriosis, adenomyosis and uterine myoma via openalex

[11] Clinical profiles of 710 premenopausal women with adenomyosis who underwent hysterectomy via openalex

[12] Conservative surgical treatment of adenomyosis to improve fertility: Controversial values, indications, complications, and pregnancy outcomes via openalex

[13] Decreased expression of human heat shock protein 70 in the endometria and pathological lesions of women with adenomyosis and uterine myoma after GnRH agonist therapy via openalex

[14] Diagnostic accuracy of transvaginal sonography for the diagnosis of adenomyosis: systematic review and metaanalysis via openalex

[15] Differential expression of selected gene products in uterine leiomyomata and adenomyosis via openalex

[16] Does presence of adenomyosis affect reproductive outcome in IVF cycles? A retrospective analysis of 973 patients via openalex

[17] Duration of dysmenorrhoea and extent of adenomyosis visualised by magnetic resonance imaging via openalex

[18] Effectiveness of the levonorgestrel-releasing intrauterine system in the treatment of adenomyosis diagnosed and monitored by magnetic resonance imaging via openalex

[19] Effect of Adenomyosis on In Vitro Fertilization/Intracytoplasmic Sperm Injection Outcomes in Infertile Women: A Retrospective Cohort Study via openalex

[20] Four subtypes of adenomyosis assessed by magnetic resonance imaging and their specification via openalex

[21] High endometrial aromatase P450 mRNA expression is associated with poor IVF outcome via openalex

[22] How common is adenomyosis? A prospective study of prevalence using transvaginal ultrasound in a gynaecology clinic via openalex

[23] Hysteroscopic diagnosis and excision of myometrial cystic adenomyosis via openalex

[24] Hysteroscopic images of an isolated lesion of unknown origin in a young infertile patient via openalex

[25] Hysteroscopy and Adenomyosis via openalex

[26] Infertility and Adenomyosis via openalex

[27] Is adenomyosis an immune disease? via openalex

[28] Is the surgical approach beneficial to subfertile women with symptomatic extensive adenomyosis? via openalex

[29] Leukaemia inhibitory factor and interleukin 11 levels in uterine flushings of infertile patients with endometriosis via openalex

[30] Leukemia inhibitory factor is dysregulated in the endometrium and uterine flushing fluid of patients with adenomyosis during implantation window via openalex

[31] Long-term pituitary downregulation before frozen embryo transfer could improve pregnancy outcomes in women with adenomyosis via openalex

[32] Management of Adenomyosis in Subfertile Women and Pregnancy Outcome via openalex

[33] Mesenchymal uterine tumors, other than pure smooth muscle neoplasms, and adenomyosis via openalex

[34] Office hysteroscopy and adenomyosis via openalex

[35] Prediction of pouch of Douglas obliteration in women with suspected endometriosis using a new real-time dynamic transvaginal ultrasound technique: the sliding sign via openalex

[36] Pregnancy after medical therapy of adenomyosis with a gonadotropin-releasing hormone agonist via openalex

[37] Pregnancy rate in women with adenomyosis undergoing fresh or frozen embryo transfer cycles following gonadotropin-releasing hormone agonist treatment via openalex

[38] Risk factors for adenomyosis in patients with symptomatic uterine leiomyomas. via openalex

[39] Role of transvaginal sonography and magnetic resonance imaging in the diagnosis of uterine adenomyosis via openalex

[40] Symptoms and classification of uterine adenomyosis, including the place of hysteroscopy in diagnosis via openalex

[41] Systematic review and meta‐analysis of adverse pregnancy outcomes after uterine adenomyosis via openalex

[42] Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group via openalex

[43] The effect of adenomyosis on in vitro fertilisation and intra-cytoplasmic sperm injection treatment outcome via openalex

[44] The elusive adenomyosis of the uterus—revisited via openalex

[45] The potential value of magnetic resonance imaging in infertility via openalex

[46] Therapeutic options for adenomyosis: a review via openalex

[47] The rate of euploid miscarriage is increased in the setting of adenomyosis via openalex

[48] The Role of Hysteroscopy in the Diagnosis and Treatment of Adenomyosis via openalex

[49] The symptomatology of adenomyosis via openalex

[50] The uterine junctional zone: a 3-dimensional ultrasound study of patients with endometriosis via openalex

[51] Three-Dimensional Ultrasound in Diagnosis of Adenomyosis: Histologic Correlation With Ultrasound Targeted Biopsies of the Uterus via openalex

[52] Transvaginal ultrasound for diagnosis of adenomyosis: a review via openalex

[53] Transvaginal Ultrasound for the Diagnosis of Adenomyosis: Systematic Review and Meta-Analysis via openalex

[54] Ultrasonography compared with magnetic resonance imaging for the diagnosis of adenomyosis: correlation with histopathology via openalex

[55] Uterine adenomyosis and in vitro fertilization outcome: a systematic review and meta-analysis via openalex

[56] Uterine adenomyosis: a need for uniform terminology and consensus classification via openalex

[57] Uterine Adenomyosis: Endovaginal US and MR Imaging Features with Histopathologic Correlation via openalex

[58] Uterine junctional zone at magnetic resonance imaging: A predictor of <i>in vitro</i> fertilization implantation failure via openalex

[59] Uterine junctional zone: function and disease via openalex

[60] Uterine peristalsis and fertility: current knowledge and future perspectives: a review and meta-analysis via openalex

[61] Uterotubal transport disorder in adenomyosis and endometriosis—a cause for infertility via openalex

[62] Validation of hysterectomy indications and the quality assurance process via openalex

[63] W2135169710 via openalex

[64] W4245027105 via openalex

[65] W1941289405 via openalex

[66] W2133720591 via openalex

[67] W2123738482 via openalex

[68] W2163552473 via openalex

[69] W2342895945 via openalex

[70] W2038354928 via openalex

[71] W2087822009 via openalex

[72] W2515052691 via openalex

[73] W2086131428 via openalex

[74] W2560042681 via openalex

[75] W2753073405 via openalex

[76] W2054264645 via openalex

[77] W2046491699 via openalex

[78] W2034681646 via openalex

[79] W2992762548 via openalex