SOGC CLINICAL PRACTICE GUIDELINEIt is the Society of Obstetricians and Gynaecologists of Canada(SOGC)policy to review the content five years after publication,atwhich time the document may be revised to reflect new evidence or the document may be archived.No.438,July2023Guideline No.437:Diagnosis andManagement of Adenomyosis(En francais Directive clinique no 437:Diagnostic et prise en charge de l'adenomyose)The English document is the original version.In the event of any discrepancy between the English and French content,the English version prevails.This dinical practice guideline was prepared by the authors andSOGC Clinical Practice-Gynaecology Committee(2022):overseen by the SOGC Clinical Practice-GynaecologyOlga Bougie,Innie Chen,Anisha Dubey,Devon Evans,JoannCommittee.It was reviewed by the SOGC Diagnostic Imaging andJames,Marie Jones,Sari Kives,Ally Murji,Foose Onsongo,Reproductive Endocrinology and Infertility committees andJessica Papillon-Smith,Leslie Po,Elizabeth Randle,Davidapproved by the SOGC Guideline Management and OversightRittenberg (co-chair),Jackie Thurston,Paul Yong (co-chair).Committee.Disclosures:Statements were received from all authors.NoAuthorsrelationships or activities that could involve a conflict of interestE.Shirin Dason,MD,FRCSC,Toronto,Ontariowere declared.All authors have indicated that they meet theMadalina Maxim,MD,Toronto,Ontariojournal's requirements for authorship.Ari Sanders,MD,FRCSC,Calgary,AlbertaSubject Categories:Gynaecology,Diagnostic Imaging,Jessica Papillon-Smith,MD,FRCSC,Montreal,QuebecReproductive Endocrinology and InfertilityDanny Ng,MD,FRCSC,Calgary,AlbertaCrystal Chan,MD,FRCSC,Toronto,OntarioAcknowledgements:The authors would like to thank ChrisMara Sobel,MD,FRCSC,Toronto,OntarioWalsh,who perfomed the database literature search.Keywords:adenomyosis;sonography;uterine arteryembolization;menomhagia;dysmenorrheaCorresponding Author:Shirin Dason,Shirin.dason@mail.utoronto.caJ Obstet Gynaecol Can 2023:45(6):417-429htps:ldoi1.og/10.1016 /j.jogc.2023.04.0082023 The Society of Obstetricians and Gynaecologists of Canada/LaSociete des obstetriciens et gynecologues du Canada.Published byElsevier Inc.All rights reserved.This document reflects emerging clinical and scientific advances as of the publication date and is subject to change.The information is notmeant to dictate an exclusive course of treatment or procedure.Institutions are free to amend the recommendations.The SOGC suggests,however,that they adequately document any such amendments.Informed consent:Everyone has the right and responsibility to make infomed decisions about their care together with their health careproviders.In order to facilitate this,the SOGC recommends that health care providers provide patients with infomation and support that isevidence-based,culturally appropriate,and personalized.Language and inclusivity:The SOGC recognizes the importance to be fully indusive and when context is appropriate,gender-neutral lan-guage will be used
