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BioMed Research International
Volume 2018, Article ID 6832685, 12 pages
Review Article

The Investigation and Management of Adenomyosis in Women Who Wish to Improve or Preserve Fertility

1Department of Gynecology Minimally Invasive Center, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100006, China
2Department of Obstetrics & Gynaecology, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong

Correspondence should be addressed to Hua Duan; moc.361@icsauhnaud

Received 9 August 2017; Accepted 18 January 2018; Published 15 March 2018

Academic Editor: William H. Catherino

Copyright © 2018 Jin-Jiao Li et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The management of adenomyosis remains a great challenge to practicing gynaecologists. Until recently, hysterectomy has been the only definitive treatment in women who have completed child bearing. A number of nonsurgical and minimally invasive, fertility-sparing surgical treatment options have recently been developed. This review focuses on three aspects of management, namely, (1) newly introduced nonsurgical treatments; (2) management strategies of reproductive failures associated with adenomyosis; and (3) surgical approaches to the management of cystic adenomyoma.