title: Adenomyosis: What the Patient Needs.
abstract: A panel of experts in the field of endometriosis expressed their opinions on management options in a 28-year-old patient, attempting pregnancy for 1 year, with severe cyclic pelvic pain and with clinical examination and imaging techniques suggestive of adenomyosis. Many questions this paradigmatic patient may pose to the clinician are addressed, and all clinical scenarios are discussed. A decision algorithm derived from this discussion is also proposed.
authors.affiliation: Department of Obstetrics and Gynecology, Macedonio Melloni Hospital, University of Milan, Milan, Italy.
authors.forename: Giulia
authors.initials: G
authors.lastname: Alabiso
authors.affiliation: Department of Obstetrics and Gynecology, Civico Hospital, Palermo, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Alio
authors.affiliation: Department of Obstetrics and Gynecology, Santa Maria della Misericordia Hospital, Perugia, Italy.
authors.forename: Saverio
authors.initials: S
authors.lastname: Arena
authors.affiliation: Department of Obstetrics and Gynecology, Macedonio Melloni Hospital, University of Milan, Milan, Italy.
authors.forename: Allegra
authors.initials: A
authors.lastname: Barbasetti di Prun
authors.affiliation: Department of Obstetrics and Gynecology, University of Verona, Verona, Italy.
authors.forename: Valentino
authors.initials: V
authors.lastname: Bergamini
authors.affiliation: Department of Obstetrics and Gynecology, Istituto Luigi Mangiagalli, University of Milan, Milan, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Berlanda
authors.affiliation: Department of Obstetrics and Gynecology, Macedonio Melloni Hospital, University of Milan, Milan, Italy.
authors.forename: Mauro
authors.initials: M
authors.lastname: Busacca
authors.affiliation: Department of Obstetrics and Gynecology, San Raffaele Hospital, University of Milan, Milan, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Candiani
authors.affiliation: Department of Obstetrics and Gynecology, University of Siena, Siena, Italy.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Centini
authors.affiliation: Department of Obstetrics and Gynecology, University of Magna Graecia, Catanzaro, Italy.
authors.forename: Annalisa
authors.initials: A
authors.lastname: Di Cello
authors.affiliation: University of Tor Vergata, Rome, Italy.
authors.forename: Caterina
authors.initials: C
authors.lastname: Exacoustos
authors.affiliation: Department of Obstetrics and Gynecology, Istituto Luigi Mangiagalli, University of Milan, Milan, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Fedele
authors.affiliation: Department of Gynecology, Obstetrics and Urology, "Sapienza" University of Rome, Rome, Italy.
authors.forename: Eliana
authors.initials: E
authors.lastname: Fuggetta
authors.affiliation: Department of Obstetrics and Gynecology, University of Genova, Genova, Italy.
authors.forename: Laura
authors.initials: L
authors.lastname: Gabbi
authors.affiliation: Department of Obstetrics and Gynecology, University of Bologna, Bologna, Italy.
authors.forename: Elisa
authors.initials: E
authors.lastname: Geraci
authors.affiliation: Department of Gynecology, Obstetrics and Urology, "Sapienza" University of Rome, Rome, Italy.
authors.forename: Ludovica
authors.initials: L
authors.lastname: Imperiale
authors.affiliation: Department of Obstetrics and Gynecology, University of Verona, Verona, Italy.
authors.forename: Elena
authors.initials: E
authors.lastname: Lavarini
authors.affiliation: Department of Obstetrics and Gynecology, Civico Hospital, Palermo, Italy.
authors.forename: Domenico
authors.initials: D
authors.lastname: Incandela
authors.affiliation: Department of Obstetrics and Gynecology, University of Siena, Siena, Italy.
authors.forename: Lucia
authors.initials: L
authors.lastname: Lazzeri
authors.affiliation: Department of Obstetrics and Gynecology, University of Siena, Siena, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Luisi
authors.affiliation: Department of Obstetrics and Gynecology, Civico Hospital, Palermo, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Maiorana
authors.affiliation: Department of Obstetrics and Gynecology, Santa Maria Goretti Hospital, Latina, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Maneschi
authors.affiliation: Department of Obstetrics and Gynecology, University of Florence, Florence, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Mannini
authors.affiliation: Department of Obstetrics and Gynecology, University of Florence, Florence, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Mattei
authors.affiliation: Department of Gynecology, Obstetrics and Urology, "Sapienza" University of Rome, Rome, Italy.
authors.forename: Ludovico
authors.initials: L
authors.lastname: Muzii
authors.affiliation: Department of Obstetrics and Gynecology, San Raffaele Hospital, University of Milan, Milan, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Pagliardini
authors.affiliation: Department of Obstetrics and Gynecology, University of Verona, Verona, Italy.
authors.forename: Alessio
authors.initials: A
authors.lastname: Perandini
authors.affiliation: Department of Obstetrics and Gynecology, University of Florence, Florence, Italy.
authors.forename: Federica
authors.initials: F
authors.lastname: Perelli
authors.affiliation: Department of Obstetrics and Gynecology, University of Siena, Siena, Italy.
authors.forename: Serena
authors.initials: S
authors.lastname: Pinzauti
authors.affiliation: Department of Gynecology, Obstetrics and Urology, "Sapienza" University of Rome, Rome, Italy. Electronic address: mariagrazia.porpora@uniroma1.it.
authors.forename: Maria Grazia
authors.initials: MG
authors.lastname: Porpora
authors.affiliation: Department of Obstetrics and Gynecology, University of Genova, Genova, Italy.
authors.forename: Valentino
authors.initials: V
authors.lastname: Remorgida
authors.affiliation: Department of Obstetrics and Gynecology, San Raffaele Hospital, University of Milan, Milan, Italy.
authors.forename: Umberto
authors.initials: U
authors.lastname: Leone Roberti Maggiore
authors.affiliation: Department of Obstetrics and Gynecology, University of Bologna, Bologna, Italy.
authors.forename: Renato
authors.initials: R
authors.lastname: Seracchioli
authors.affiliation: Department of Obstetrics and Gynecology, Macedonio Melloni Hospital, University of Milan, Milan, Italy.
authors.forename: Eugenio
authors.initials: E
authors.lastname: Solima
authors.affiliation: Infertility Unit, Fondazione Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
authors.forename: Edgardo
authors.initials: E
authors.lastname: Somigliana
authors.affiliation: Department of Obstetrics and Gynecology, University of Siena, Siena, Italy.
authors.forename: Claudia
authors.initials: C
authors.lastname: Tosti
authors.affiliation: Department of Obstetrics and Gynecology, University of Magna Graecia, Catanzaro, Italy.
authors.forename: Roberta
authors.initials: R
authors.lastname: Venturella
authors.affiliation: Department of Obstetrics and Gynecology, Istituto Luigi Mangiagalli, University of Milan, Milan, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Vercellini
authors.affiliation: Department of Obstetrics and Gynecology, San Raffaele Hospital, University of Milan, Milan, Italy.
authors.forename: Paola
authors.initials: P
authors.lastname: Viganò
authors.affiliation: Department of Obstetrics and Gynecology, Macedonio Melloni Hospital, University of Milan, Milan, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Vignali
authors.affiliation: Department of Obstetrics and Gynecology, University of Bologna, Bologna, Italy.
authors.forename: Letizia
authors.initials: L
authors.lastname: Zannoni
authors.affiliation: Department of Obstetrics and Gynecology, University of Magna Graecia, Catanzaro, Italy.
authors.forename: Fulvio
authors.initials: F
authors.lastname: Zullo
authors.affiliation: University of Tor Vergata, Rome, Italy.
authors.forename: Errico
authors.initials: E
authors.lastname: Zupi
mesh_terms: D062788:Adenomyosis / Q000175:diagnosis* / Q000628:therapy; D000328:Adult; D000465:Algorithms; D000066491:Clinical Decision-Making; D004715:Endometriosis / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods; D008279:Magnetic Resonance Imaging; D064847:Multimodal Imaging; D020380:Needs Assessment; D010808:Physical Examination / Q000379:methods; D016742:Preconception Care / Q000379:methods; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D014463:Ultrasonography
keywords: Adenomyosis; Diagnosis; Pelvic pain; Pregnancy desire; Treatment