Adenomyosis: In-Vitro Fertilization Does Not Improve Pregnancy Outcome as Compared to Conventional Infertility Treatment

Abstract

Bishista Bagchi, Anjana Roy Chaudhuri and Siddhartha Chatterjee

Adenomyosis is a benign invasion of endometrial glands and stroma into the uterine myometrium. [1, 2]. It can present with heavy and painful menstrual bleeding or be asymptomatic [2-4]. Over last three decades the diagnosis of adenomyosis has been feasible after the introduction of MRI and 3D-TVS. Although there are no international consensus on the diagnostic criteria for adenomyosis with either ultrasound or MRI, the Morphological Uterus Sonographic Assessment (MUSA) consensus statement provides several important ultrasounds features for diagnosis of adenomyosis [5-8]. Heterogeneous and hypoechogenic areas in the myometrium, areas with or without anechoic lacunae or cysts of varying size, linear striation radiating out from the endometrium into the myometrium, poor definition of the junctional zone (JZ), and pseudo-widening of the endometrium (enlargement of uterus with asymmetric thickening of the anterior or posterior walls). On 3D TVS, features linked to adenomyosis were JZmax 8 mm or greater, myometrial asymmetry, and hypoechoic striations [9].

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