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Adenomyosis: Classification, Diagnosis, and Management

Explore the etiology, characteristics, and diagnostic tools for adenomyosis. Learn about treatment options including hormonal and surgical approaches. Discover uterus-sparing techniques and combination treatments. Stay updated with recent findings and outcomes related to adenomyosis.

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Adenomyosis: Classification, Diagnosis, and Management

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  1. Adenomyosis SIG Endocrinology 2019 Chairperson – Madhuri Patil

  2. Adenomyosis (de Souza et al., 1995; Kunz et al., 2005, 2007; Kissler et al., 2008), Kunz et al. (2007)

  3. Etiology of Adenomyosis

  4. Adenomyosis

  5. Characteristics To Be Used For Categorization

  6. Proposed Classification of Adenomyosis Gordts et al, RBM Online, 17: 244‐248, 2009

  7. Surgical/histological classification of adenomyosis Grimbizis et al, FertilSteril, 101: 472‐487, 2014

  8. Kishi et al, Am J ObstetGynecol, 2012

  9. Pattern of diseaseDiffuse adenomyosis Diffuse - Mild Diffuse -Severe

  10. Pattern of diseaseFocaladenomyosis Focal adenomyosis Adenomyoma

  11. Diagnosis On 3D-TVS, the best markers were JZ difference >4 mm and JZ infiltration and distortion (both 88% sensitivity; 85% and 82% accuracy, respectively

  12. Spectrum of MRI findings and correlation with histology

  13. At hysteroscopy subtle lesions may be diagnostic of adenomyosis Hypervascularisation Strawberry pattern Endometrial defects Localized mucosal elevation

  14. Junctional zone abnormalities due to adenomyosis associated with lower Implantation rates

  15. IVF/ET Outcomes In Relation To Myometrial Thickness Hyun SikYoum et al J AssitReprod Genet. 2011 Sept 24

  16. Management of Adenomyosis

  17. Treatment options in patients with adenomyosis

  18. Hormonal treatment adenomyosis: Rationale Fedele et al, Best Pract Res ClinObstetGynecol, 22: 333‐339, 2008 Petraglia et al, Best Pract Res ClinObstetGynecol, 22: 235‐249, 2008

  19. Surgical treatment adenomyosis: Rationale Fedele et al, Best Pract Res ClinObstetGynecol, 22: 333‐339, 2008 Petraglia et al, Best Pract Res ClinObstetGynecol, 22: 235‐249, 2008

  20. Classification Of Uterus Sparing Techniques And Their Variants Excisional Techniques Grimbizis et al, FertilSteril, 101: 472‐487, 2014

  21. Principles of conservative excisional surgery: Pre‐operative

  22. Principles of conservative excisional surgery: intra‐ operative

  23. Principles of conservative excisional surgery: intra‐ operative

  24. Combination Of Conservative Surgery With GnRH Agonist/Danazol

  25. Other Modalities of Treatment for Adenomyosis

  26. Take home Message -------

  27. Take home Message -------

  28. Take home Message -------

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