Adenomyosis a forgotten cause of infertility | ||||
| The Egyptian Journal of Fertility of Sterility | ||||
| Article 2, Volume 24, Issue 2 - Serial Number 11106352, May 2020, Page 11-21 PDF (3.97 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/egyfs.2020.105464 | ||||
 View on SCiNiTO | ||||
| Author | ||||
| Ahmed G. Serour | ||||
| The International Islamic center for population studies and research, Al Azhar University Cairo-Egypt | ||||
| Abstract | ||||
| Objectives: To review whether adenomyosis causes infertility or not, the current available methods of its diagnosis, the lines of ade- nomyosis associated infertility treatment, and why future research is needed. Materials and methods: Electronic databases for studies on adeno- myosis and infertility published between 1995-2020 were searched and reviewed using the PUBMED as a search engine. The follow- ing keywords were used: adenomyosis, infertility, ultrasonography, MRI, IVF/ICSI, cytoreductive surgery, GnRHa, NSAIDs and HIFU. No language limitations were applied. Findings: Adenomyosis is a disease of women in reproductive age and contributes to infertility. It can be accurately diagnosed by non invasive imaging. There are different lines of treatment of adenomy- osis associated infertility. However all currently available methods have their limitations. There is a need to expand research in this area to be able to answer the enigma of adenomyosis and infertility. Conclusion: Reproductive medicine physicians should be aware of the possible contribution of adenomyosis to infertility and look for its presence during infertility workup. This will enable them to prop- erly counsel the patients and choose the most appropriate methods for management of their infertility. | ||||
| Keywords | ||||
| Adenomyosis; Junctional Zone; infertility; IVF; cytoreduc- tive surgery; IVF/ICSI; ultrasonography; MRI | ||||
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