GROSS ANATOMY

Detailed explanation-1: -Pelvic imaging such as ultrasound and MRI can detect signs of adenomyosis, but the only way to confirm it is to examine the uterus after hysterectomy.

Detailed explanation-2: -Diagnosis of adenomyosis begins with clinical suspicion and is confirmed with transvaginal ultrasonography and pelvic magnetic resonance imaging. Treatment of adenomyosis typically starts with hormonal menstrual suppression. Levonorgestrel-releasing intrauterine systems have shown some effectiveness.

Detailed explanation-3: -The gold standard for the diagnosis of adenomyosis is histological examination of a hysterectomy specimen.

Detailed explanation-4: -MRI is an accurate tool for the diagnosis of adenomyosis and associated conditions. Adenomyosis can be diffuse or focal. The most established MRI finding is thickening of junctional zone exceeding 12 mm. High-signal intensity myometrial foci on T2-or T1-weighted images are also characteristic.