Association of Ultrasound Features of the Myometrium Suggestive of Adenomyosis and Clinical Symptoms

Exclusion criteria

• Missing written consent (study consent) • Any serious underlying medical, psychiatric or psychological condition, which may interfere with the patient's capacity of discernment. • Postmenopausal women • Pregnancy • History of pelvic urogynaecologic surgery (TVT, mesh surgery, etc.) • Malignancy or premalignancy of uterus/cervix • Prior myomectomy for FIGO 3-6 fibroids • Patients with coagulation disorders under current anticoagulation medication • Prior history of diagnosed intraabdominal adhesions (surgery) • Prior diagnosis of pelvic congestion syndrome • Psychiatric disease precluding a reliable estimation of pain • Prior surgery or treatment for deep infiltrating endometriosis • Acute other symptoms: • Urinary symptoms (dysuria, urgency, grade III stress incontinence) • Acute of chronic pelvic infection (cervicitis, endometritis, salpingitis, frozen pelvis) • Ovarian lesions • Sonographic signs of deep infiltrating endometriosis (DIE) • Intracavitary pathology (Fibroid 0-2, polyp, adhesions) • Retained products of conception • \>3 small fibroids below 2 cm in largest diameter FIGO 3-8 (i.e. the presence of three fibroids below 2cm is NOT considered an exclusion criterion) • Presence of any fibroid \>2cm.