Adenomyosis Affects Fertility and ART Procedures as Well as Outcomes: An Invited Opinion

The effect of adenomyosis on reproduction can only be determined if there are clear definitions of this disease entity. Adenomyosis should be distinct from endometriosis rather than regarded as a subclassification. The diagnosis of adenomyosis should employ standard criteria that are accessible, rep...

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Main Author: Angela G. Sison-Aguilar
Format: Article
Language:English
Published: World Scientific Publishing 2024-12-01
Series:Fertility & Reproduction
Subjects:
Online Access:https://www.worldscientific.com/doi/10.1142/S2661318224020031
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author Angela G. Sison-Aguilar
author_facet Angela G. Sison-Aguilar
author_sort Angela G. Sison-Aguilar
collection DOAJ
description The effect of adenomyosis on reproduction can only be determined if there are clear definitions of this disease entity. Adenomyosis should be distinct from endometriosis rather than regarded as a subclassification. The diagnosis of adenomyosis should employ standard criteria that are accessible, replicable, noninvasive, and cost-effective. The Morphological Uterus Sonographic Assessment (MUSA) is a standard and validated system to diagnose adenomyosis. However, not all markers in the MUSA correlate with clinically relevant outcomes. Analysis of outcomes according to each individual sonographic marker may be the key to correctly identifying significant phenotypes of adenomyosis and evaluating its true impact on reproduction.
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spelling doaj-art-24ab0ae580544e1aaa6f070e1b6a9b522025-08-20T01:57:20ZengWorld Scientific PublishingFertility & Reproduction2661-31822661-31742024-12-01060415415510.1142/S2661318224020031Adenomyosis Affects Fertility and ART Procedures as Well as Outcomes: An Invited OpinionAngela G. Sison-Aguilar0University of the Philippines College of Medicine, Manila, PhilippinesThe effect of adenomyosis on reproduction can only be determined if there are clear definitions of this disease entity. Adenomyosis should be distinct from endometriosis rather than regarded as a subclassification. The diagnosis of adenomyosis should employ standard criteria that are accessible, replicable, noninvasive, and cost-effective. The Morphological Uterus Sonographic Assessment (MUSA) is a standard and validated system to diagnose adenomyosis. However, not all markers in the MUSA correlate with clinically relevant outcomes. Analysis of outcomes according to each individual sonographic marker may be the key to correctly identifying significant phenotypes of adenomyosis and evaluating its true impact on reproduction.https://www.worldscientific.com/doi/10.1142/S2661318224020031AdenomyosisClassificationMorphologic Uterus Sonographic Assessment (MUSA)ReproductionFertility Treatment
spellingShingle Angela G. Sison-Aguilar
Adenomyosis Affects Fertility and ART Procedures as Well as Outcomes: An Invited Opinion
Fertility & Reproduction
Adenomyosis
Classification
Morphologic Uterus Sonographic Assessment (MUSA)
Reproduction
Fertility Treatment
title Adenomyosis Affects Fertility and ART Procedures as Well as Outcomes: An Invited Opinion
title_full Adenomyosis Affects Fertility and ART Procedures as Well as Outcomes: An Invited Opinion
title_fullStr Adenomyosis Affects Fertility and ART Procedures as Well as Outcomes: An Invited Opinion
title_full_unstemmed Adenomyosis Affects Fertility and ART Procedures as Well as Outcomes: An Invited Opinion
title_short Adenomyosis Affects Fertility and ART Procedures as Well as Outcomes: An Invited Opinion
title_sort adenomyosis affects fertility and art procedures as well as outcomes an invited opinion
topic Adenomyosis
Classification
Morphologic Uterus Sonographic Assessment (MUSA)
Reproduction
Fertility Treatment
url https://www.worldscientific.com/doi/10.1142/S2661318224020031
work_keys_str_mv AT angelagsisonaguilar adenomyosisaffectsfertilityandartproceduresaswellasoutcomesaninvitedopinion