Adenomyosis and reproduction
Abstract
Evidence has been provided that pelvic endometriosis is significantly associated with uterine adenomyosis and that the latter constitutes the major factor of infertility in such conditions. Furthermore, it has become evident that both adenomyosis and endometriosis constitute a pathophysiological and nosological entity. Mild peritoneal endometriosis of the fertile woman and premenopausal adenomyosis of the parous and non-parous woman, as well as adenomyosis in association with endometriosis of the infertile woman, constitute a pathophysiological continuum that is characterized by the dislocation of basal endometrium. Due to the postponement of childbearing late into the period of reproduction, premenopausal adenomyosis might increasingly become a factor for infertility in addition to adenomyosis associated with endometriosis of younger women. In any event, the presence or absence of uterine adenomyosis should be examined in a sterility work-up.
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Uterine dysfunction in women with endometriosis and adenomyosis is a result of archimetral hyperestrogenism.
“It was suggested that this uterine dysfunction in women with endometriosis and adenomyosis is a result of archimetral hyperestrogenism [3, 4, 29, 33].”
From The pathophysiology of endometriosis and adenomyosis, tissue injury and repair (2009) · cites this paper as [3]
Auto-traumatization of the uterus constitutes the critical factor in the development of endometriosis and adenomyosis.
“On the basis of the data presented above we had suggested that auto-traumatization of the uterus would constitute the critical factor in the development of endometriosis and adenomyosis [3, 4, 33].”
From The pathophysiology of endometriosis and adenomyosis, tissue injury and repair (2009) · cites this paper as [3]
Adenomyotic foci are usually localized in the anterior and/or posterior with preference of the posterior but only rarely in the lateral walls of the uterine corpus.
“Adenomyotic foci are usually localized in the anterior and/or posterior with preference of the posterior but only rarely in the lateral walls of the uterine corpus.”
From The pathophysiology of endometriosis and adenomyosis, tissue injury and repair (2009) · cites this paper as [3]
Early lesions usually present close to the fundo-cornual raphe of the archimyometrium.
“Early lesions usually present close to the “fundo-cornual raphe” of the archimyometrium [3, 23, 45]”
From The pathophysiology of endometriosis and adenomyosis, tissue injury and repair (2009) · cites this paper as [3]
While in healthy women the endometrial-myometrial lining is smooth and regular, it is irregular and sometimes polypoid in affected women.
“Moreover, while in healthy women the endometrial–myometrial lining is smooth and regular it is irregular and sometimes polypoid in affected women [3, 81].”
From The pathophysiology of endometriosis and adenomyosis, tissue injury and repair (2009) · cites this paper as [3]
Hyperperistalsis causes overt uterine auto-traumatization, detachment of fragments of basal endometrium, and their transtubal dislocation into the peritoneal cavity as well as infiltrative growth of basal endometrium into the underlying myometrium, resulting in pelvic endometriosis and uterine adenomyosis.
“As outlined previously, hyperperistalsis causes overt uterine auto-traumatization, detachment of fragments of basal endometrium, and their transtubal dislocation into the peritoneal cavity as well as infiltrative growth of basal endometrium into the underlying myometrium resulting in pelvic endometriosis and uterine adenomyosis, respectively [3, 33].”
From The pathophysiology of endometriosis and adenomyosis, tissue injury and repair (2009) · cites this paper as [3]
During a singular phase of first-step injury, transtubal dislocation of fragments of basal endometrium might occur.
“During such a singular phase of ‘first-step’ injury, transtubal dislocation of fragments of basal endometrium might occur.”
From The pathophysiology of endometriosis and adenomyosis, tissue injury and repair (2009) · cites this paper as [3]
The fundo-cornual raphe as a site of predilection of mechanical strain is documented by the observation that early adenomyosis usually evolves in the sagittal midline of the mid-corporal and fundal part of the uterus.
“The fundo-cornual raphe as a site of predilection of mechanical strain is documented by the observation that early adenomyosis usually evolves in the sagittal midline of the mid-corporal and fundal part of the uterus (Fig. 2).”
From The pathophysiology of endometriosis and adenomyosis, tissue injury and repair (2009) · cites this paper as [3]
Chronic trauma to ectopic lesions maintains the inflammatory process and results in the same tissue response as seen in uterine adenomyosis.
“It appears that chronic trauma to the ectopic lesions maintains the inflammatory process and results in the same tissue response as seen in uterine adenomyosis [3].”
From The pathophysiology of endometriosis and adenomyosis, tissue injury and repair (2009) · cites this paper as [3]
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Naftalin, J. (2014) · UCL Discovery (University College London)
- Authors
- Leyendecker, G., Kunz, G., Kissler, S., & Wildt, L.
- Affiliations
- Klinikum Darmstadt (DE)
- St.-Johannes-Hospital Dortmund (DE)
- Goethe University Frankfurt (DE)
- Innsbruck Medical University (AT)
- Corresponding author
- Leyendecker, Gerhard
- Venue
- Best Practice & Research Clinical Obstetrics & Gynaecology
- Publisher
- Elsevier BV
- Published
- 2006-08
- Volume
- 20
- Issue
- 4
- Pages
- 523-546
- ISSN
- 1521-6934 (ISSN-L)
- OpenAlex
- W2153792763
- Cited by
- 94
- References
- 73
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 2 · 2022: 5 · 2021: 7 · 2020: 3 · 2019: 5 · 2018: 4 · 2017: 4 · 2016: 3 · 2015: 7 · 2014: 7 · 2013: 4 · 2012: 5
- FWCI
- 1.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Best Practice & Research Clinical Obstetrics & Gynaecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Keywords
- adenomyosis, pelvic endometriosis, infertility, delayed childbearing, peritoneal endometriosis, infertility workup
- MeSH terms
- Adult, Endometriosis, Endometrium, Female, Humans, Infertility, Female, Magnetic Resonance Imaging, Myometrium, Pregnancy, Surgical Procedures, Operative, Uterine Contraction, Uterine Diseases, Uterus
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