D.I. TERESHCHENKOVA¹, L.I. SYRMATOVA²

 ¹Kazan State Medical University, Kazan

²City Clinical Hospital No. 7, Kazan

Contact details:

Tereshchenkova D.I. — Assistant Lecturer of the Department of Obstetrics and Gynecology named after Prof. V.S. Gruzdev

Address: 49 Butlerov St., 420012 Kazan, Russian Federation, tel.: +7-937-52-75-355, e-mail: dinara.akhmetova.2496@mail.ru

The purpose — to review contemporary evidence on the definition, pathogenesis, clinical manifestations, and current diagnostic approaches to adenomyosis.

Material and methods. Review of publications based on search results in the electronic resources PubMed, Elibrary, EMBASE, and Google Scholar.

Results. Adenomyosis is defined as the presence of ectopic endometrial tissue within the myometrium. Clinical manifestations include abnormal uterine bleeding, pelvic pain, and infertility. The diagnostic accuracy of transvaginal ultrasound is comparable to that of MRI. The MUSA consensus and the European Delphi procedure have standardized sonographic criteria, classifying them into direct and indirect signs.

Conclusion. Standardized ultrasound criteria and modern reporting protocols significantly increase the reliability of non-invasive diagnosis of adenomyosis.

Key words: adenomyosis, ultrasound, MUSA consensus

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