Hirata J D, Moghissi K S, Ginsburg K A
Department of Obstetrics and Gynecology, Wayne State University School of Medicine, Detroit, Michigan.
Fertil Steril. 1993 Feb;59(2):444-5. doi: 10.1016/s0015-0282(16)55703-3.
A patient with long-standing secondary infertility was explored for myomectomy, at which time severe adenomyosis was found. A 6-month course of nafarelin acetate resulted in resolution of dysmenorrhea and uterine enlargement. The patient conceived quickly. Although the patient spontaneously aborted, this report presents the first in which medical therapy of adenomyosis is associated with successful treatment of infertility.