Evidence map›Paper›PMID 37834773›Full record

ReviewJournal of clinical medicine2023

The Present and the Future of Medical Therapies for Adenomyosis: A Narrative Review.

Gaby Moawad, Youssef Youssef, Arrigo Fruscalzo, Hani Faysal, Mira Kheil, Paul Pirtea, Benedetta Guani, Jean Marc Ayoubi, Anis Feki

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. CD11dGenes and immunity · 2026
    Article
  4. Article
  5. Review
  6. Simvastatin-loaded liposomal nanoparticles as treatment for adenomyosis in a patient-derived xenograft mouse model: a pilot study.Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Gaby MoawadDepartment of Obstetrics and Gynecology, George Washington University, Washington, DC 20037, USA.ORCID 0000-0002-3240-1496
Youssef YoussefDivision of Minimally Invasive Gynecology, Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY 11220, USA.ORCID 0000-0002-4339-333X
Arrigo FruscalzoDepartment of Obstetrics and Gynecology, HFR-Fribourg, Chemin des Pensionnats 2-6, 1708 Fribourg, Switzerland.ORCID 0000-0002-8958-6049
Hani FaysalDepartment of Obstetrics and Gynecology, Indiana University, Indianapolis, IN 46202, USA.
Mira KheilDepartment of Obstetrics and Gynecology, Henry Ford Health, Detroit, MI 48202, USA.ORCID 0000-0001-7426-5923
Paul PirteaDepartment of Obstetrics and Gynecology and Reproductive Medicine, Hopital Foch-Faculté de Médecine Paris, 92150 Suresnes, France.ORCID 0000-0001-8947-6109
Benedetta GuaniDepartment of Obstetrics and Gynecology, HFR-Fribourg, Chemin des Pensionnats 2-6, 1708 Fribourg, Switzerland.ORCID 0000-0003-4498-3734
Jean Marc AyoubiDepartment of Obstetrics and Gynecology and Reproductive Medicine, Hopital Foch-Faculté de Médecine Paris, 92150 Suresnes, France.
Anis FekiDepartment of Obstetrics and Gynecology, HFR-Fribourg, Chemin des Pensionnats 2-6, 1708 Fribourg, Switzerland.ORCID 0000-0002-9817-9445
Hôpital Foch · FRGeorge Washington University · USHenry Ford Health System · USIndiana University – Purdue University Indianapolis · USMaimonides Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Uterine Adenomyosis is a benign condition characterized by the presence of endometrium-like epithelial and stromal tissue in the myometrium. Several medical treatments have been proposed, but still, no guidelines directing the management of adenomyosis are available. While a hysterectomy is typically regarded as the definitive treatment for adenomyosis, the scarcity of high-quality data leaves patients desiring fertility with limited conservative options. Based on the available data, the levonorgestrel-IUD appears to offer the most favorable outcomes. Other treatments, including GnRH antagonists, dienogest, prolactin, and oxytocin modulators, show promise; however, further data are required to establish their efficacy definitively. Furthermore, there are many emerging therapies that have been developed that seem worthy of consideration in the near future. The aim of this narrative review was to explore the current medical treatments available for adenomyosis and to provide a glimpse of future therapies under assessment. For this scope, we performed a literature search on PubMed and Medline from incept to September 2022 using the keywords: "medical treatment", "non-steroidal anti-inflammatory", "progesterone intrauterine device", "dienogest", "combined oral contraceptives", "gonadotropin releasing hormone agonist", "gonadotropin releasing hormone antagonist", "danazol", "aromatase inhibitors", "ulipristal acetate", "anti-platelet therapy", "dopamine", "oxytocin antagonists", "STAT3", "KRAS", "MAPK", "micro-RNA", "mifepristone", "valproic acid", "levo-tetrahydropalamatine", and "andrographolide". The search was limited to articles in English, with subsequent screening of abstracts. Abstracts were screened to select relevant studies.

Indexed as

adenomyosisgonadotropin releasing hormonesintrauterine devicesmedical treatmentsprogesterone

Identifiers

PMID37834773
PMCPMC10573655
OpenAlexW4386995927

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.