Hysteroscopic excision of symptomatic myometrial adenomyosis: feasibility and effectiveness

Objective To explore the feasibility and efficacy of hysteroscopic excision of myometrial adenomyotic lesions. Design A case-series study. Setting A university medical centre. Population 51 women with myometrial adenomyosis completed the study. Methods The patients underwent hysteroscopic excision of myometrial adenomyosis and were followed up for 24 months. The degree of symptoms, uterine volume, and serum CA125 concentrations were recorded. The degrees of menorrhagia and dysmenorrhea were evaluated. Results The mean MVJ and VAS score significantly decreased from the baseline. The uterine volume and the serum CA125 significantly reduced. Conclusions Hysteroscopic excision of myometrial adenomyotic lesions is feasible and may be effective in improving symptoms.