Adenomyosis and Reproduction

Adenomyosis, very precisely described as internal endometriosis, is characterized as ectopic endometrial tissue within the myometrium in the uterus. It is the most inaccessible disease for preoperative histopathological diagnosis. Its diagnosis is always accomplished retrospectively after hysterectomy. Interestingly hysterectomy is usually done in multiparas and infrequently in infertile patients. Older literature supports the view that adenomyosis is a disease of multiparas. However increasing number of hysterectomies done for endometriosis show the presence of adenomyosis in the uterus. Hence the effect on reproduction is possible. Due to lack of high resolution imaging technics in earlier era, the preoperative diagnosis was impossible. But today we can have early diagnosis and offer treatment.