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Adenomyosis
Adenomyosis is diagnosed when endometrial glands and stroma invade 2-3 mm into the uterine muscle (1-2 high power fields below the endometrium). Bleeding and collection of blood into the muscle during menstrual time leads to local inflammation and scar tissue formation causing hypertrophy and hyperplasia of the myometrium. This section has been modified and moved into the book 'Chronic Pelvic Pain and Abnormal Uterine Bleeding: The Two Enigmas of Gynaecology Outpatient Clinics'. ISBN 978-1-906645-77-9. Published by The Grosvenor House of Publishing Ltd. Guildford, Surrey, UK. Is available form amazon at:
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