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Human Reproduction Update, Vol.9, No.2 pp.139-147, 2003
© European Society of Human Reproduction and Embryology 2003; all rights reserved

Uterine adenomyosis in the infertility clinic

Roland Devlieger1,2, Thomas D’Hooghe1 and Dirk Timmerman1

1 Department of Obstetrics and Gynaecology and Leuven University Fertility Centre, University Hospital Gasthuisberg, K.U. Leuven, Belgium 2 Department of Obstetrics and Gynaecology, Leids Universitair Medisch Centrum, Leiden, the Netherlands

To whom correspondence should be addressed at: Dirk Timmerman, Department of Obstetrics and Gynaecology, University Hospital Gasthuisberg, K.U. Leuven, Herestraat 49, B-3000 Leuven, Belgium. e-mail: dirk.timmerman{at}uz.kuleuven.ac.be

Abstract

This review discusses uterine adenomyosis as a (co-)factor in female subfertility. The clinical presentation of adenomyosis uteri is reviewed as well as recent developments in non-invasive imaging modalities for the condition. Different treatment options are discussed, focusing on conservative management in patients who wish to maintain their childbearing capacity.

Key words: adenomyosis / endometriosis / infertility / ultrasound / uterus


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