Wilk Katarzyna, Zieba-Domalik Maja, Wilk Krzysztof, Bednarz Karolina, Stojko Rafal, Drosdzol-Cop Agnieszka
Chair and Department of Gynecology, Obstetrics and Gynecological Oncology, Pediatric and Adolescent Gynecology. Medical University of Silesia, Katowice, Poland., Poland.
Ginekol Pol. 2024 Oct 29. doi: 10.5603/gpl.103105.
Adenomyosis is a uterine disorder commonly associated with painful menstrual cycles, abnormal uterine bleeding, and dyspareunia, which can significantly impact fertility, pregnancy outcomes and overall quality of life. Recent literature reports suggest that adenomyosis is increasingly being identified in adolescents, particularly in those presenting with severe dysmenorrhea and heavy menstrual bleeding. In this review we evaluate the frequency of adenomyosis diagnosis on imaging studies in relation to the occurrence of dysmenorrhea, pelvic pain and heavy menstrual bleeding (HMB).
A thorough literature search was performed using PubMed, EMBASE and SCOPUS databases. It was confined to articles published from 1 January 2019, to 1 August 2024 and included only those available in English. Due to the very limited number of publications on this topic, an age range of 12-25 years was selected as the inclusion criteria. For articles that met the inclusion criteria, information regarding diagnosis on imaging and relation to the occurrence of symptoms was extracted.
Five full-text articles were reviewed. Studies including adolescents and young women from 12-25 years of age who presented with HMB, pelvic pain, dysmenorrhea and an imaging-based diagnosis of adenomyosis. The prevalence of adenomyosis in this population ranged from 25 to 45%. It is crucial to consider adenomyosis in the differential diagnosis of adolescent girls presenting with dysmenorrhea, heavy menstrual bleeding, and pelvic pain. Dysmenorrhea was the most frequently reported symptom (from 81 to 100%) associated with imaging features of adenomyosis.
子宫腺肌病是一种常见的子宫疾病，通常与痛经、异常子宫出血和性交困难相关，可显著影响生育能力、妊娠结局和整体生活质量。最近的文献报道表明，子宫腺肌病在青少年中越来越多地被发现，尤其是那些有严重痛经和月经过多的青少年。在本综述中，我们评估了影像学研究中子宫腺肌病诊断的频率与痛经、盆腔疼痛和月经过多（HMB）发生情况的关系。
使用PubMed、EMBASE和SCOPUS数据库进行了全面的文献检索。检索范围限于2019年1月1日至2024年8月1日发表的文章，且仅包括英文文章。由于关于该主题的出版物数量非常有限，选择12 - 25岁的年龄范围作为纳入标准。对于符合纳入标准的文章，提取了有关影像学诊断及与症状发生关系的信息。
共审查了五篇全文文章。这些研究纳入了12至25岁出现月经过多、盆腔疼痛、痛经且经影像学诊断为子宫腺肌病的青少年和年轻女性。该人群中子宫腺肌病的患病率为25%至45%。在对出现痛经、月经过多和盆腔疼痛的青春期女孩进行鉴别诊断时，考虑子宫腺肌病至关重要。痛经是与子宫腺肌病影像学特征相关的最常报告症状（81%至100%）。
