{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T01:10:21Z","timestamp":1789089021250,"version":"build-2803163510"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":77,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100021092","name":"University of Yamanashi","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100021092","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Gynecol Obstet"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The magnetic resonance imaging (MRI)-based classification of adenomyosis subtypes helps predict reproductive and obstetric outcomes; however, background factors associated with use of assisted reproductive technology (ART) and live birth within each individual subtype remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a multicenter retrospective study of 199 premenopausal women (32\u201349\u00a0years) who underwent pelvic MRI and laparoscopic surgery and had histopathologic confirmation of adenomyosis (January 2010\u2013May 2023). Patients were classified as intrinsic (n\u2009=\u200958), extrinsic (n\u2009=\u200961), or indeterminate (n\u2009=\u200980) subtype. Within each subtype, multivariate logistic regression tested independent associations of age, ART history, gravidity, parity, lesion thickness, and intraoperative findings\u2014including pelvic endometriosis\u2014with ART use and live birth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The extrinsic subtype had a higher proportion with ART history than the intrinsic subtype (32.8% vs 8.6%; p\u2009=\u20090.008). Live birth rate was lower in the indeterminate than the intrinsic subtype (60.0% vs 86.2%; p\u2009=\u20090.0048). In the extrinsic subtype, greater lesion thickness independently predicted lower odds of live birth (adjusted OR\u2009=\u20090.94 per 1-mm increase; 95% CI, 0.88\u20130.99; p\u2009=\u20090.048). In the indeterminate subtype, older age was associated with ART use (adjusted OR\u2009=\u20091.155\u00a0per year; 95% CI, 1.002\u20131.351; p\u2009=\u20090.047), and ovarian endometrioma was linked to reduced live birth (adjusted OR\u2009=\u20090.172; 95% CI, 0.054\u20130.508; p\u2009=\u20090.001). In the intrinsic subtype, women with live birth were older than those without, but age was not an independent factor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Adenomyosis lesion thickness and coexisting endometriosis are associated with ART indication and live birth outcomes in a subtype-specific manner and may support individualized counselling and management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00404-026-08490-4","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T10:04:25Z","timestamp":1782468265000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Subtype-specific analysis of factors associated with assisted reproductive technology indication and live birth in patients with adenomyosis: a retrospective study"],"prefix":"10.1007","volume":"313","author":[{"given":"Kota","family":"Tanaka","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosuke","family":"Ono","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajime","family":"Ota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dai","family":"Miyashita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsuya","family":"Yoshihara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"So","family":"Owada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoko","family":"Sasatsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maki","family":"Ogi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiko","family":"Okuda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideto","family":"Yamada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinichiro","family":"Wada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osamu","family":"Yoshino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"issue":"11","key":"8490_CR1","doi-asserted-by":"publisher","first-page":"3302","DOI":"10.3390\/jcm13113302","volume":"13","author":"G Galati","year":"2024","unstructured":"Galati G, Ruggiero G, Grobberio A, Capri O, Pietrangeli D, Recine N, Vignali M, Muzii L (2024) The role of different medical therapies in the management of adenomyosis: a systematic review and meta-analysis. 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This article was approved by the hospital\u2019s ethical committee, and it has duly received IRB approval.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Human rights statements and informed consent: This study was conducted in accordance with the principles outlined in the Declaration of Helsinki, and it was approved by the Institutional Review Board of the University of Yamanashi (approval number: CS 0013).","order":2,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"266"}}