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Ulipristial acetate
Adverse symptoms during short‐term use of ulipristal acetate in women with uterine myomas and/or adenomyosis.
Hong YH, Han SJ, Lee D, Kim SK, Jee BC.
J Obstet Gynaecol Res. 2019 Apr;45(4):865‐870.
Ulipristal acetate therapy increases ultrasound features of adenomyosis: a good treatment given in an erroneous diagnosis of uterine fibroids. Conway F, Morosetti G, Camilli S, Martire FG, Sorrenti G, Piccione E, Zupi E, Exacoustos C.
Gynecol Endocrinol. 2019 Mar;35(3):207‐210.
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Uterus sparing surgical treatment of adenomyosis
Rationale and basis for classification of the techniques
Excision or destruction of the diseased tissue with concomitant maintenance of the healthy myometriun is the goal of any surgical conservative treatment
Adenomyosis/adenomyomas infiltrate myometrium and, thus, adenomyomectomy is always associated with concomitant
Classification of surgical techniques is based on:
1. Radicality of adenomyotic tissue removal
2. Preservation of the integrity of the uterine wall (and subsequently
removal of some amount of myometrial tissue
the functionality)
Grimbizis et al, Fertil Steril, 101: 472‐487, 2014
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