The Pregnancy Outcomes After Uterine Preservation Surgery and HIFU Treatment for Adenomyosis

Can Xie
In: Adenomyosis · 2021 · pp. 149–156 · doi:10.1007/978-981-33-4095-4_17 · W3131191842
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This paper discusses the complications of adenomyosis and the need for combined therapeutic approaches, especially for infertile patients, focusing on uterine preservation surgery and HIFU treatment.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This chapter discusses pregnancy outcomes following uterine preservation surgery and high-intensity focused ultrasound (HIFU) treatment for adenomyosis, with particular attention to adenomyosis-associated infertility and the rationale for combined therapy. It frames the topic using prior literature on fertility-sparing surgical approaches and reported pregnancy outcomes after conservative surgery and after HIFU for focal adenomyosis, but it does not provide new original patient-level results within the provided text. A key limitation explicitly reflected in the chapter’s framing is that adenomyosis has no single curative treatment method, especially in infertile patients, implying heterogeneous evidence across approaches. Relevance to endometriosis: the chapter mainly addresses adenomyosis; however, it cites an “endometriosis management guide,” linking adenomyosis infertility management concepts to broader endometriosis-related pelvic pain contexts, while the paper’s primary focus is adenomyosis pregnancy outcomes after uterine preservation surgery and HIFU.

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Abstract

The clinical manifestations of adenomyosis are complicated, and there are many clinical treatments, but there is no single method that can resolve all the problems of adenomyosis. It is especially so for the treatment of patients with adenomyosis with infertility. Chen [1] emphasized that the treatment of adenomyosis should pay attention to the surgical techniques and the combined application of other treatment methods. Therefore, it is believed that the same principle should be applied for patients with adenomyosis and infertility, focusing on combined therapy. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

Chen C. Several problems that should be paid attention to in the course of uterine adenomyosis diagnosis and treatment. Chin J Pract Gynaecol Obstet. 2017;33(2):134–6. Lang J. Several problems with uterine adenomyosis. Chin J Pract Gynaecol Obstet. 2017;33(2):129–33. Li Xia YH, Wenxuan H, Wei C, Yumin Z, 2018 French Association of Obstetricians and Gynaecologists/French National Health Service. Endometriosis management guide. Chin Pract Gynecol Obstet. 2018;34(11):1243–6. Xu B. The management status and prospect of uterine adenoid disease combined infertility. China Family Planning Obstet Gynecol. 2019;4:3. Osada H. Uterine adenomyosis and adenomyoma: the surgical approach. Fertil Steril. 2018;109(3):406–17. Saremi A, et al. Treatment of adenomyomectomy in women with severe uterine adenomyosis using a novel technique. Reprod BioMed Online. 2014;28(6):753–60. Kishi Y, Yabuta M, Taniguchi F. Who will benefit from uterus-sparing surgery in adenomyosis-associated subfertility? Fertil Steril. 2014;102(3):802–807. e1. Tsui K-H, et al. Conservative surgical treatment of adenomyosis to improve fertility: controversial values, indications, complications, and pregnancy outcomes. Taiwanese J Obstet Gynecol. 2015;54(6):635–40. Grimbizis GF, Mikos T, Tarlatzis B. Uterus-sparing operative treatment for adenomyosis. Fertil Steril. 2014;101(2):472–487. e8. Tan J, et al. Reproductive outcomes after fertility-sparing surgery for focal and diffuse adenomyosis: a systematic review. J Minim Invasive Gynecol. 2018;25(4):608–21. Wang PH, et al. Is the surgical approach beneficial to subfertile women with symptomatic extensive adenomyosis? J Obstet Gynaecol Res. 2009;35(3):495–502. Liu Wei ZM, Yanyan Y. Study on pregnancy after uterine adenoidectomy in infertility patients. China Medical Guide. 2017;14(8):92–5. Yang R, et al. Effects of high-intensity focused ultrasound in the treatment of experimental neuroblastoma. J Pediatr Surg. 1992;27(2):246–51. Yang Zhu CY, Lina H, Zhixuan W. High intensity focused ultrasound first study of pathological changes in adenomyosis in human body. J Clin Ultrasound Med. 2003;5(2):65–7. Rabinovici J, et al. Pregnancy and live birth after focused ultrasound surgery for symptomatic focal adenomyosis: a case report. Hum Reprod. 2006;21(5):1255–9. Luo S, et al. Pregnancy outcome after high intensity focused ultrasound (HIFU) treatment for patients with adenomyosis. Chongqing Med. 2014;4:454–455, 458. Chunyan Z High-intensity focused ultrasound ablation to treat uterine adenomyosis - its effects and pregnancy outcome. Zunyi Medical College; 2017. p. 1-z. Wang Zhi ZM, Li C, Yongbin D, Yu X. Observation of pregnancy outcome after high intensity focused ultrasound treatment in patients with adenomyosis. Chongqing Med. 2017;46(18):2506–8. Tang B. Evaluation of the effect of high-intensity focused ultrasound ablation on adenomyosis patients with fertility requirements. J Contemp Med. 2019;17(19):76–7. Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2021 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. About this chapter Cite this chapter Xie, C. (2021). The Pregnancy Outcomes After Uterine Preservation Surgery and HIFU Treatment for Adenomyosis. In: Xue, M., Leng, J., Wong, F. (eds) Adenomyosis. Springer, Singapore. https://doi.org/10.1007/978-981-33-4095-4_17 Download citation DOI: https://doi.org/10.1007/978-981-33-4095-4_17 Published: Publisher Name: Springer, Singapore Print ISBN: 978-981-33-4094-7 Online ISBN: 978-981-33-4095-4 eBook Packages: MedicineMedicine (R0)

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