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PERSPECTIVE article

Front. Med.
Sec. Obstetrics and Gynecology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1533648
This article is part of the Research Topic Advancements in Diagnostic and Management Strategies for Gynecological Pathologies View all 9 articles

Perspectives in Transvaginal Sonography for the Diagnosis of Adenomyosis

Provisionally accepted
Xiao-Ling An Xiao-Ling An 1Jun Zhang Jun Zhang 1Xiao-Chun Yun Xiao-Chun Yun 2Xiao-Hui Lei Xiao-Hui Lei 1Jing Zhao Jing Zhao 1Xiao-Hua Yang Xiao-Hua Yang 2Mei-mei Liu Mei-mei Liu 2*
  • 1 New ChangAn International Maternity Hospital, Xi'an, China
  • 2 Department of Ultrasound, Xi’an Gaoxin Hospital, Xi’an, China

The final, formatted version of the article will be published soon.

    Adenomyosis is a common gynecological condition affecting women of reproductive age, posing significant diagnostic challenges due to its diverse clinical presentations.This extended opinion study critically reviews the diagnostic methods for adenomyosis, with a focus on transvaginal sonography (TVS), a widely used non-invasive imaging technique. The study evaluates the effectiveness, limitations, and clinical applicability of TVS, while exploring the role of histopathological confirmation when non-invasive methods are insufficient. Advancements in TVS, including three-dimensional ultrasound and color Doppler, have enhanced diagnostic precision, particularly in assessing uterine morphology and blood flow. Additionally, artificial intelligence integration offers potential to further optimize diagnostic accuracy and efficiency. While histopathological examination remains the gold standard, its use is often impractical in patients who do not undergo hysterectomy.This study provides a comprehensive overview of the current status of TVS in diagnosing adenomyosis, analyzing its accuracy, strengths, and limitations across diverse patient populations. Results suggest that TVS is a reliable diagnostic tool, though its accuracy improves when combined with magnetic resonance imaging, especially in complex cases. Ongoing research is needed to refine TVS capabilities and identify non-invasive alternatives to histopathological confirmation, improving accessibility and diagnostic efficiency.

    Keywords: Adenomyosis, Transvaginal sonography, transvaginal ultrasound, perspective, diagnosis

    Received: 24 Nov 2024; Accepted: 08 Jan 2025.

    Copyright: © 2025 An, Zhang, Yun, Lei, Zhao, Yang and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Mei-mei Liu, Department of Ultrasound, Xi’an Gaoxin Hospital, Xi’an, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.