Adenomyosis part II Adenomyosis is ectopic endometrial tissue with supporting stroma within the uterine myometrium. It is fairly common with a presentation similar to fibroids. It can exist on its own or with concomitant fibroid disease as seen in this patient. The exact origins of adenomyosis have not been completely elucidated, but there are known risk factors including prior uterine instrumentation/surgery and multiparity among others. In clinical practice, I find diagnosis to be the biggest
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