Abstract

Background and Objective: Adenomyosis is a benign disorder of the uterus characterised by infiltration of endometrial glands and stroma into the myometrium. It is present in a significant proportion of women presenting with heavy menstrual bleeding (HMB) and infertility. Adenomyosis is a heterogeneous disease that can present in different configurations in the myometrium. It is considered diffuse when deposits of endometrial glands and stroma are distributed throughout the myometrium, or focal when there are circumscribed aggregates. Uterine adenomyomas are areas of focal adenomyosis with hypertrophy of surrounding myometrium. They were first described in 1896, but have since received relatively little attention and available literature on this topic is sparse. In this narrative review we address what is known about uterine adenomyomas, and what is not yet known.

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