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Uterine Fibroids and Adenomyosis

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Female Reproductive Dysfunction

Part of the book series: Endocrinology ((ENDOCR))

Abstract

Uterine fibroids and adenomyosis are common gynecological conditions in patients presenting abnormal uterine bleeding (AUB), pain (dysmenorrhea and dyspareunia), and infertility. Uterine fibroids are benign myometrial tumors, and, conversely, adenomyosis is characterized by the presence of heterotopic endometrial glands and stroma within the myometrium. Although being different entities, they share symptoms and treatment options. Clinical characteristics and main diagnosis criteria for uterine fibroids and adenomyosis will be developed. Nowadays, treatment for fibroids and adenomyosis is intended to control symptoms trying to preserve future fertility up to menopausal status. In this chapter, we will review main management options currently available: surgical treatment (including radical and conservative surgery), nonsurgical options, and medical treatment. Lastly, both conditions are common among women of reproductive age, and they can alter fertility and pregnancy outcomes. Thus, in the last part, adenomyosis-related and myoma-related infertility will be reviewed, as long as reproduction implications.

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Authors and Affiliations

  1. Division of Gynecology, Institute Clinic of Gynecology, Obstetrics and Neonatology, Hospital Clinic, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Faculty of Medicine, University of Barcelona, Barcelona, Spain

    M. Gracia

  2. Department of Gynecology, Hospital Clínic of Barcelona, Barcelona, Spain

    F. Carmona

Authors
  1. M. Gracia
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  2. F. Carmona
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Corresponding author

Correspondence to F. Carmona .

Editor information

Editors and Affiliations

  1. Department of Biomedical, Experimental and Clinical Sciences, Division of Obstetrics and Gynecology, University of Florence, Firenze, Italy

    Felice Petraglia

  2. Department of Reproductive Medicine and Gynecology, University Medical Center Utrecht, University of Utrech, Utrecht, The Netherlands

    Bart C. Fauser

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Gracia, M., Carmona, F. (2020). Uterine Fibroids and Adenomyosis. In: Petraglia, F., Fauser, B. (eds) Female Reproductive Dysfunction . Endocrinology. Springer, Cham. https://doi.org/10.1007/978-3-030-14782-2_9

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  • DOI: https://doi.org/10.1007/978-3-030-14782-2_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-14781-5

  • Online ISBN: 978-3-030-14782-2

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