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Retrospective analysis compares symptom burden in adenomyosis and endometriosis, suggesting significant implications for management.
BACKGROUND/AIM: those with peritoneal/ovarian endometriosis and deep infiltrating endometriosis (DIE). PATIENTS AND METHODS: This retrospective study analyzed standardized preoperative symptom questionnaires from women who underwent surgery for suspected endometriosis at a tertiary referral center in 2021. Patients were classified intraoperatively using the #ENZIAN system and allocated to three groups: isolated adenomyosis (AM), peritoneal/ovarian endometriosis with or without adenomyosis, and DIE with or without additional disease. CONCLUSION: AM is associated with a symptom burden comparable to that of peritoneal and DIE. These findings underscore adenomyosis as a clinically significant cause of pelvic pain and highlight the need for early recognition and appropriate management.
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Piriyev et al. (2026) studied this question.
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