Successful treatment of large adenomyosis with transcervical radiofrequency ablation in a high-risk patient: A case report and short review

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Adenomyosis is a prevalent gynecological condition that affects women of reproductive age, and its treatment can present significant challenges. Conventional surgical approaches are traumatic to the uterine tissue, necessitating the development of alternative methods. We herein describe the successful treatment of a large diffuse adenomyosis on the back wall of the uterus in a high-risk patient with severe symptoms and fertility desire, using transcervical intrauterine ultrasound-guided radiofrequency ablation. The treatment significantly reduced uterine and adenomyosis volumes and improved the symptoms. This method is a minimally invasive uterine-preserving option and serves as a promising therapeutic alternative to conventional procedures, such as hysterectomy and tissue excision, for treating adenomyosis.