Adenomyosis refers to the presence of ectopic glandular tissue, located deep in the myometrum.
A 2014 review by Vercillini concluded that adenomyosis was associated with a 68% reduction in the likelihood of pregnancy in women seeking conception after surgery for rectovaginal and colorectal endometriosis. The same author reviewed the outcome of adenomyosis associated with IVF/ICS to conclude that women with adenomyosis had a 28% reduction in the likelihood of clinical pregnancy at IVF/ICSI compared with women without adenomyosis and a higher rate of spontaneous abortion.
Hysteroscopy allows for the direct visualization of the uterine cavity, however its ability to diagnose adenomyosis is limited.