Adenomyosis can be diffuse or focal. the ultimate management of adenomyosis is hysterectomy however many young women who have not completed their families also suffer from adenomyosis. After investigation it may be possible for this to be excised laparoscopically. It is important that the diagnosis be made early as the smaller the lesion the greater the likelihood of laparoscopic surgery being successful. for larger lesions open surgery may be an alternative however there is the associated risk with traditional open surgery
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