Clinicopathologic characteristics of uterine adenomyoma in pregnant women.
OBJECTIVE
To study the clinicopathologic characteristics and the treatment means of pregnant women with uterine adenomyoma.


METHODS
Retrospective, consecutive, controlled study.


METHODS
University hospital for obstetrics and gynecology.


METHODS
Eighteen pregnant women with uterine adenomyoma.


METHODS
Data collection and statistical analysis.


METHODS
Eighteen pregnant women with uterine adenomyoma were diagnosed by excision of adenomyoma tissue during cesarean section and histopathology. The 18 subjects were retrospectively divided into treatment group (achieving this pregnancy by treatment; 10 cases) and control group (having no difficulty conceiving; 8 cases). The clinicopathologic characteristics and treatment means of the patients were analyzed retrospectively.


RESULTS
The mean volume of uterine adenomyoma in the treatment group was larger than that of the control group. The methods of treating women with uterine adenomyoma-associated infertility include GnRH agonist (GnRH-a: 6 cases), GnRH-a and IVF and embryo transfer (3 cases), and traditional Chinese medicines (1 case).


CONCLUSIONS
Severe uterine adenomyoma correlate with infertility in women of childbearing age. GnRH-a is effective in treating women with uterine adenomyoma-associated infertility.
Wang
Jian-Hua
JH
Department of Obstetrics and Gynecology, Women's Hospital, The School of Medicine, Zhejiang University, Hangzhou, Zhejiang, People's Republic of China. wjh421@163.com
He
Xiao-Hong
XH
Wu
Rui-Jin
RJ
Xu
Xiang-Rong
XR
D018194:Adenomyoma / Q000150:complications / Q000473:pathology*; D000328:Adult; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000473:pathology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000473:pathology*; D037841:Pregnant People; D012189:Retrospective Studies; D014594:Uterine Neoplasms / Q000150:complications / Q000473:pathology*