Page 68 - ESHRE2019

Phenotypic characterization of adenomyosis occurring at the inner and outer myometrium.
Yohei Kishi et al. Plos one Dec. 2017
Normal uterus: SMC
inner myometrium: undifferentiated outer myometrium: differentiated
It is important to note that each subtype of adenomyosis arises from different environments, and actually each has a specific clinical characteristic.
Phenotypic characterization of adenomyosis occurring at the inner and outer myometrium.
Yohei Kishi et al. Plos one Dec. 2017
Subtype I adenomyosis
Direct invasion: iatrogenic peristalsis & ReTiAR
non‐inflammatory pathway like mechanical stress or chronic tissue trauma may be involved in the fibrosis process in subtype I
adenomyosis
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