Adenomyosis and Reproductive Outcome

Adenomyosis is defined as the Presence of endometrial glandsin the myometrium, Itsprevalence is ۲۰%, the main sign andsymptoms are: pelvic pain / AUB/ infertility and poorob outcome,there is two different Tyrese of the disease: focal / diffuse,there is threedifferent types: internal / external / adenomyoma.The best ways to diagnose the disease is:histopathology/MRI and ۳D and ۲D vaginal ultrasound.The Effects of adenomyosisonreproductive outcome is in the field of obstetrics like:increase preterm birth / increase PROMand increase IUGR, andalso in the field of infertility life: impaired tubal transfer/ decreasespermfunction / decrease implantation and altered uterinecontractility. Also there is increasein early pregnancy lossand decrease live birth rate. For the treatment / we can suggestpretreatmentwith GnRha before IVF. Some studies had goodresults with surgery beforeIVF/ but it needs more researches.