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Research Articles Supplement 2 · 2019 · pp. 21–28 · Issue page

UPDATE ON CLINICAL DIAGNOSIS AND MANAGEMENT OF ADENOMYOSIS

MI
Mihail BĂNACU1
IN
Ina POPESCU2
BO
Bogdan SOCEA3
NI
Nicolae BACALBAȘA4
OV
Ovidiu Gabriel BRATU5
DI
Diana Claudia GHEORGHIU6
VL
Vlad BĂLEANU7
MI
Mihaela NEDELCUTA8
CR
Cristian NEDELCUTA9
AN
Ana Laura MANDA10
CR
Crîngu Antoniu IONESCU11
MI
Mihai DIMITRIU12
1 Assistant Lecturer, MD, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania
2 "Carol Davila" University of Medicine and Pharmacy, Bucharest; "St. Pantelimon" Emergency Clinical Hospital, Obstetrics and Gynecology Department, Bucharest
3 "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania; "St. Pantelimon" Emergency Clinical Hospital, Surgical Department, Bucharest
4 "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania; "Ion Cantacuzino" Clinical Hospital, Bucharest, Obstetrics and Gynecology Department
5 "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania; Central Military Emergency Hospital, Bucharest, Urology Department
6 "St. Pantelimon" Emergency Clinical Hospital, Obstetrics and Gynecology Department, Bucharest
7 "St. Pantelimon" Emergency Clinical Hospital, Surgical Department, Bucharest
8 “Filantropia” Hospital from Craiova, Romania
9 County Emergency Clinical Hospital from Craiova, Romania
10 University Hospital of Bucharest, Surgery Section, Bucharest, Romania
11 "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania; "St. Pantelimon" Emergency Clinical Hospital, Obstetrics and Gynecology Department, Bucharest
12 "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania; "St. Pantelimon" Emergency Clinical Hospital, Obstetrics and Gynecology Department, Bucharest
Corresponding author: [email protected]
Accepted 29 March 2026
Available Online 20 July 2019
Abstract
INTRODUCTION IN THIS ARTICLE WE SUGGEST A MODERN APPROACH TO MANAGING A PATIENT WITH A CHRONIC ILLNESS SUCH AS ENDOMETRIOSIS AND PARTICULARLY ADENOMYOSIS OF THE UTERUS. ADENOMYOSIS OFTEN COEXISTS WITH OTHER UTERINE PATHOLOGIES LIKE LEIOMYOMA AND, ESPECIALLY, DEEP AND SUPERFICIAL PERITONEAL AND OVARIAN ENDOMETRIOSIS. FOR PROPER MANAGEMENT OF THESE INTRICATE DISEASES, HEALTH CARE SPECIALISTS AND GYNECOLOGISTS NEED TO BE TRAINED IN DETECTING ENDOMETRIOSIS. CLEAR AND COMPLETE DIAGNOSIS REPORTING IS HELPFUL FOR NETWORKING AND ESSENTIAL TO ANY PROFESSIONAL MANAGING THIS DISEASE, FOR A BETTER INTERSPECIALTY COOPERATION. MANAGEMENT OF ADENOMYOSIS SHOULD BE TAILORED FOR THE SPECIFIC SYMPTOMS AND NEEDS OF THE PATIENT. LONG TERM FOLLOW-UP SHOULD TAKE PLACE PREFERABLY IN SPECIALIZED CENTERS OF EXCELLENCE IN ENDOMETRIOSIS SURGERY. COMPLETE CARE SHOULD BE PROVIDED BY THE MULTIDISCIPLINARY TEAM. CONCLUSION INCREASING AWARENESS FOR THIS DISEASE BOTH AMONGST MEDICAL CAREGIVERS AND PATIENTS CAN IMPROVE EARLY DIAGNOSIS, BETTER CARE AND PRESERVATION OF FERTILITY.
Keywords
ADENOMYOSIS ENDOMETRIOSIS DEEP INFILTRATING ENDOMETRIOSIS
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