Adenomyosis and reproduction

被引:81
作者
Leyendecker, Gerhard
Kunz, Georg
Kissler, Stefan
Wildt, Ludwig
机构
[1] Goethe Univ Frankfurt, Teaching Hosp, Klinikum Darmstadt, Dept Obstet & Gynaecol, D-64283 Darmstadt, Germany
[2] Univ Heidelberg Mannheim, Teaching Hosp, Klinikum Darmstadt, Dept Obstet & Gynaecol, D-64283 Darmstadt, Germany
[3] St Johannes Hosp, Dept Obstet & Gynaecol, D-44127 Dortmund, Germany
[4] Goethe Univ Frankfurt, Dept Obstet & Gynaecol, D-760596 Frankfurt, Germany
[5] Med Univ Innsbruck, Dept Gynaecol Endocrinol & Reprod Med, A-6040 Innsbruck, Austria
关键词
adenomyosis; endometriosis; dislocation of basal endometrium; uterine peristalsis; directed sperm transport; uterine dysperistalsis; hyperperistalsis; uterine auto-traumatization; archimetra; endometrial oestrogens;
D O I
10.1016/j.bpobgyn.2006.01.008
中图分类号
R71 [妇产科学];
学科分类号
100211 [妇产科学];
摘要
Evidence has been provided that pelvic endometriosis is significantly associated with uterine adenomyosis and that the latter constitutes the major factor of infertility in such conditions. Furthermore, it has become evident that both adenomyosis and endometriosis constitute a pathophysiological and nosological entity. Mild peritoneal endometriosis of the fertile woman and premenopausal adenomyosis of the parous and non-parous woman, as well as adenomyosis in association with endometriosis of the infertile woman, constitute a pathophysiological continuum that is characterized by the dislocation of basal endometrium. Due to the postponement of childbearing late into the period of reproduction, premenopausal adenomyosis might increasingly become a factor for infertility in addition to adenomyosis associated with endometriosis of younger women. In any event, the presence or absence of uterine adenomyosis should be examined in a sterility work-up.
引用
收藏
页码:523 / 546
页数:24
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