Diagnosis,treatment and management of adenomyosis-associated pain
HUANG Yan
PENG Chao
ZHOU Ying-fang
Abstract:Pain is one of the main clinical manifestations of adenomyosis.The pathogenesis of adenomyosis-associated pain is complex,involving multiple interrelated mechanisms.Ultrasound and magnetic resonance imaging play crucial roles in diagnosis and typing of adenomyosis.Currently,there is no consensus on typing and pain characteristics across different types.Exogenous pain may have more obvious symptoms,and responds well to progesterone treatment.Hysterectomy serves as the radical treatment.For patients desiring uterine preservation,lesion excision,endometrial ablation,or minimally invasive or non-invasive treatment may be alternatives.The long-term management requires making individualized strategies based on the patient's age,fertility demand,symptom severity and lesion characteristics.
Keywords:adenomyosispainmedical therapysurgical treatmentinterventional therapy
Publication Date:2025-08-02
Online Publishing Date:2025-09-30(First online date of this platform, not the publication date of the document)
Pages:7( 784-790 )
Chinese Journal of Practical Gynecology and Obstetrics

Chinese Journal of Practical Gynecology and Obstetrics

ISTICPKUCSCD
ISSN:1005-2216
Year, Vol.(Issue):2025,41(8)