{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T13:04:02Z","timestamp":1769605442253,"version":"3.49.0"},"reference-count":25,"publisher":"Korean Society of Obstetrics and Gynecology","issue":"1","license":[{"start":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:00:00Z","timestamp":1763510400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["ogscience.org"],"crossmark-restriction":true},"short-container-title":["Obstet Gynecol Sci"],"published-print":{"date-parts":[[2026,1,15]]},"abstract":"<jats:p>Adenomyosis, a prevalent yet frequently underdiagnosed uterine disorder, poses significant challenges for women of reproductive age, especially those seeking fertility. Although hysterectomy remains the definitive treatment, fertility-sparing interventions such as adenomyomectomy have gained traction despite ongoing debates regarding their efficacy and safety. This review synthesizes the current evidence on reproductive and perinatal outcomes following adenomyomectomy, evaluates its risks and benefits and provides evidence-based clinical recommendations. We reviewed the diagnosis and treatment of adenomyosis, with a particular focus on fertility-sparing surgery, and summarized the pregnancy outcomes and obstetric risks after adenomyomectomy, including recommendations for prenatal care. Adenomyomectomy may improve fertility in carefully selected patients; however, it carries substantial obstetric risks including placenta accreta spectrum, preterm birth, and life-threatening hemorrhage. While it offers a viable alternative to hysterectomy, its use should be restricted to women with severe symptoms or those who have failed assisted reproductive technology cycles and should be managed within a framework of shared decision-making and high-risk obstetric care. Future research should address diagnostic standardization, long-term reproductive outcomes, and strategies to mitigate surgical complications.<\/jats:p>","DOI":"10.5468\/ogs.25157","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T04:24:03Z","timestamp":1763612643000},"page":"16-26","update-policy":"https:\/\/doi.org\/10.5468\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcome of pregnancy after adenomyomectomy: a review"],"prefix":"10.5468","volume":"69","author":[{"given":"Ha Lim","family":"Shin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7877-4450","authenticated-orcid":true,"given":"Young Mi","family":"Jung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyeon Ji","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jee Yoon","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3425","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina59091551"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.17219\/acem\/79176"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.15550"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.rbmo.2020.02.011"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.5468\/ogs.23273"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18031235"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.xagr.2023.100265"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000033266"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1716687"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s10815-022-02476-2"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjog.2012.04.008"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097\/gco.0000000000000555"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.rbmo.2019.03.101"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2018.01.032"},{"key":"ref15","first-page":"69","volume-title":"Shikyusenkinshokakushutsujutsu-go ninshin-ji no shikyuharetsu-yobo ni tsuite (prevention of uterine rupture during pregnancy after adenomyomectomy)","author":"Nishida","year":"2016"},{"key":"ref16","first-page":"70","volume-title":"Shikyusenkinsho gappei-funin ni taishite fukukukyoka-shikyu-onzon-ryoho wa yukoka?-jutsugo-ninshinritsu to senko-shujutsu no umu ni yoru shusanki-yogo no kento (is laparoscopic uterine preservation surgery effective against infertility associated with uterine adenomyosis? A study of perinatal prognosis by postoperative pregnancy rate and the presence of prior surgery)","author":"Kitade","year":"2017"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2021.10.005"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2014.05.028"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.kjms.2017.12.008"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1007\/s43032-024-01758-7"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12419"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjog.2020.11.015"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2019.1597845"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0000000000002237"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1111\/jog.13924"}],"container-title":["Obstetrics &amp; Gynecology Science"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/ogscience.org\/upload\/pdf\/ogs-25157.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/ogscience.org\/journal\/view.php?doi=10.5468\/ogs.25157","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/ogscience.org\/upload\/pdf\/ogs-25157.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T23:00:58Z","timestamp":1769554858000},"score":1,"resource":{"primary":{"URL":"http:\/\/ogscience.org\/journal\/view.php?doi=10.5468\/ogs.25157"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,15]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"URL":"https:\/\/doi.org\/10.5468\/ogs.25157","relation":{},"ISSN":["2287-8580"],"issn-type":[{"value":"2287-8580","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,15]]},"assertion":[{"value":"2025-05-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-19","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-15","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}