Abstract
Historically, hysterectomy has been the recommended treatment for patients with adenomyosis.
However, in the past two decades, various uterine-sparing treatment methods have emerged.
These range from excisional techniques such as adenomyomectomy or wedge resection
to uterine artery embolization, radiofrequency thermal ablation, hysteroscopic excision,
endometrial ablation, and high-intensity focused ultrasound. While largely investigative
for the treatment of adenomyosis, these procedures have demonstrated improvement in
symptoms including abnormal uterine bleeding, dysmenorrhea, pelvic pain, and overall
quality of life. However, long-term data including fertility and obstetric outcomes
are needed. Future research is needed to better understand the impact of these uterine-preserving
techniques to expand our armamentarium for the treatment of adenomyosis.
Keywords
adenomyosis - adenomyomectomy - uterine preservation - surgery - outcomes - uterine
artery embolization - radiofrequency thermal ablation - high-intensity focused ultrasound
