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[Adenomyosis and fertility]

M Cosson1, S Dubreucq-Fossaert, D Querleu

  • 1Maternité Paul Gellé, Roubaix.

Contraception, Fertilite, Sexualite (1992)
|November 12, 1998
PubMed
Summary

Adenomyosis, a uterine condition common in women over 40, can cause pelvic pain and heavy bleeding. While rarely linked to infertility, treatments like LHRH agonists may improve fertility in diagnosed cases.

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Area of Science:

  • Gynecology
  • Reproductive Medicine
  • Pathology

Context:

  • Adenomyosis is a common uterine condition affecting women over 40.
  • Diagnosis can be challenging.
  • Associated symptoms include pelvic pain and menorrhagia.

Purpose:

  • To discuss the diagnosis and management of adenomyosis.
  • To explore the rare association between adenomyosis and infertility.
  • To evaluate treatment options for improving fertility in adenomyosis patients.

Summary:

  • Adenomyosis is a frequent uterine pathology in women over 40, often presenting with pelvic pain and menorrhagia.
  • Its association with infertility is rare and difficult to definitively establish.
  • Luteinizing hormone-releasing hormone (LHRH) agonist therapy is a potential medical treatment to enhance fertility in cases of patent adenomyosis.

Impact:

  • Provides insights into the clinical presentation and diagnostic challenges of adenomyosis.
  • Highlights the infrequent link between adenomyosis and infertility.
  • Suggests LHRH agonist therapy as a potential fertility-enhancing treatment for specific adenomyosis cases.

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