Gaby Moawad1, Mira H Kheil2, Jean Marc Ayoubi3, Jordan S Klebanoff4, Sara Rahman5, Fady I Sharara5,6. 1. Department of Obstetrics and Gynecology, The George Washington University Hospital, Washington, DC, USA. gnmoawad@gmail.com. 2. Department of Pathology, Wayne State University, Detroit, MI, USA. 3. Department of Obstetrics and Gynecology, Faculty of Medicine, Paris Quest (UVSQ), Foch Hospital, Suresnes, France. 4. Department of Obstetrics and Gynecology, Maine Line Health, Wynnewood, PN, 19096, USA. 5. Department of Obstetrics and Gynecology, The George Washington University Hospital, Washington, DC, USA. 6. Virginia Center for Reproductive Medicine, Reston, VA, USA.
Abstract
PURPOSE: Adenomyosis is a poorly understood entity with no unified treatment protocol. It has been thought to only affect the quality of life of older women, but growing evidence is highlighting the increased frequency of adenomyosis in younger patients and its possible effects on fertility outcomes. This can have a great impact on how clinicians screen, diagnose, and treat this condition. The aim of this review is to explore the relationship between adenomyosis and infertility. METHODS: A literature search of the keywords "adenomyosis", "infertility", "pregnancy" and "fertility" was conducted using the PubMed and Medline search engines. The articles selected were observational, systematic reviews, meta-analyses, and randomized controlled trials. The search was limited to English, abstracts were screened, and articles were selected. RESULTS: The literature reports lower clinical pregnancy rates, lower live birth rates, higher miscarriage rates, and higher odds of adverse obstetric outcomes in patients with adenomyosis. Treatment seems to be associated with higher pregnancy rates and live births rates. CONCLUSION: An association between adenomyosis and infertility seems to exist, and treatment could lead to improved fertility outcomes.
PURPOSE: Adenomyosis is a poorly understood entity with no unified treatment protocol. It has been thought to only affect the quality of life of older women, but growing evidence is highlighting the increased frequency of adenomyosis in younger patients and its possible effects on fertility outcomes. This can have a great impact on how clinicians screen, diagnose, and treat this condition. The aim of this review is to explore the relationship between adenomyosis and infertility. METHODS: A literature search of the keywords "adenomyosis", "infertility", "pregnancy" and "fertility" was conducted using the PubMed and Medline search engines. The articles selected were observational, systematic reviews, meta-analyses, and randomized controlled trials. The search was limited to English, abstracts were screened, and articles were selected. RESULTS: The literature reports lower clinical pregnancy rates, lower live birth rates, higher miscarriage rates, and higher odds of adverse obstetric outcomes in patients with adenomyosis. Treatment seems to be associated with higher pregnancy rates and live births rates. CONCLUSION: An association between adenomyosis and infertility seems to exist, and treatment could lead to improved fertility outcomes.
Authors: F Andrei Taran; Markus Wallwiener; Drita Kabashi; Ralf Rothmund; Katharina Rall; Bernhard Kraemer; Sara Y Brucker Journal: Arch Gynecol Obstet Date: 2011-12-23 Impact factor: 2.344
Authors: O Yeniel; T Cirpan; M Ulukus; A Ozbal; G Gundem; S Ozsener; O Zekioglu; H Yilmaz Journal: Clin Exp Obstet Gynecol Date: 2007 Impact factor: 0.146