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Uterine artery embolisation in women with symptomatic adenomyosis
Paul N M Lohle1, David Higué2, Denis Herbreteau3
1Tilburg university, department of radiology, St. Elisabeth Ziekenhuis, 5022 GC Tilburg, The Netherlands.
Abstract:
Adenomyosis is frequently called the "forgotten" diagnosis, because of its non-characteristic clinical appearance. Similar to fibroid symptoms, adenomyosis may be the cause of disabling symptoms such as heavy menstrual bleeding, in particular pain (abdominal-, pelvic-, low back- and menstrual pain), with or without bulk related symptoms and fertility issues in premenopausal women. The current literature demonstrates durable symptom improvement in patients with adenomyosis following uterine artery embolisation. It is no longer justified to withhold women the option of uterine artery embolisation for symptomatic adenomyosis with or without fibroids.
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