Adenomyosis as a disorder of the early and late human reproductive period
Abstract
Magnetic resonance imaging (MRI) allows the diagnosis of adenomyosis in vivo with a high sensitivity and specificity. Usually the diagnosis of adenomyosis is obtained from women in their fourth to fifth decade of life. However, recent data suggest that adenomyosis may develop much sooner in life, particularly in women with endometriosis. In order to test these suggestions, MRI of the uterus in 227 women with and without endometriosis was performed and the results were related to the age of the subjects (age groups: 17-24, 25-29, 30-34 and >34 years). The study revealed that the process of the development of adenomyosis, represented by an increased diameter of the dorsal junctional zone of the uterus as the imaging correlative of the invasion of basal endometrium into the junctional zone, had already commenced early in the third decade of life and progressed steadily during the fourth decade in women with endometriosis. Women without endometriosis showed almost no signs of adenomyosis up to the age of 34 years. Surprisingly, parallel in both groups of women, a marked increase in the incidence of adenomyosis could be observed beyond the age of 34 years, thus representing a common phenomenon in the age-related pathophysiological continuum of adenomyosis.
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There is a significant association of pelvic endometriosis with uterine adenomyosis in women and in the baboon with life-long infertility.
“There is a significant association of pelvic endometriosis with uterine adenomyosis in women and in the baboon with life-long infertility.”
From The pathophysiology of endometriosis and adenomyosis, tissue injury and repair (2009) · cites this paper as [24]
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MESTRADO INTEGRADO EM MEDICINA Instituto de Ciências Biomédicas Abel Salazar Ano lectivo 2013/2014
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ENDOMETRIOSIS:: EVALUACIÓN POR RESONANCIA MAGNÉTICA
Odriozola, E. A., Fontan, M., Astorquiza, A. G., Pernas, R. O., Urdampilleta, J. C., & Zubiarrain, A. M. I. (2018) · Seram
- Authors
- Kunz, G., Herbertz, M., Beil, D., Huppert, P., & Leyendecker, G.
- Affiliations
- St.-Johannes-Hospital Dortmund (DE)
- Klinikum Darmstadt (DE)
- ORCID
- Kunz, G
- Venue
- Reproductive BioMedicine Online
- Publisher
- Elsevier BV
- Published
- 2007-01
- Volume
- 15
- Issue
- 6
- Pages
- 681-685
- ISSN
- 1472-6483 (ISSN-L)
- OpenAlex
- W2135112634
- Cited by
- 108
- References
- 45
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 5 · 2023: 3 · 2022: 7 · 2021: 8 · 2020: 12 · 2019: 5 · 2018: 7 · 2017: 4 · 2016: 1 · 2015: 4 · 2014: 8 · 2013: 6 · 2012: 6
- FWCI
- 5.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Reproductive BioMedicine Online (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, endometriosis, uterine MRI, age-related development, reproductive age, uterine pathology
- MeSH terms
- Adolescent, Adult, Endometriosis, Female, Humans, Infertility, Female, Magnetic Resonance Imaging, Middle Aged, Uterus, Prevalence, Age Distribution
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