Adenomyosis and abnormal uterine bleeding (AUB-A)—pathogenesis, diagnosis, and management

JA Abbott - Best practice & research Clinical obstetrics & …, 2017 - Elsevier
Highlights•Damage to the uterine junctional zone is a primary contributor to adenomyosis.•
Diagnosis may be reliably made by well-performed ultrasonography or MRI.•Medical
managements need to be useable for a prolonged duration, with the LNG-IUD being the
best option to date.•Conservative surgical management is feasible but requires high
technical skill.•Interventional sonography and radiological techniques are emerging and
beneficial alternatives to surgery.The complex pathogenesis and variable presentation of …