306 CONCLUSIONS Overall, the results of this thesis support that adenomyosis can be diagnosed accurately on MRI, but also that it is important to do so as adenomyosis may well affect the whole reproductive process and function of the uterus. Uterine function first seems impaired in terms of fertility and obstetric outcomes, with a higher risk of miscarriage, infertility, and complications during pregnancy. In addition, the muscular function of the uterus as a whole is affected with aberrant contractile activity seen. Furthermore, we proffer that adenomyosis and endometriosis are part of a spectrum of the same disease, and patients with signs of both diseases are also the patients with the worst reproductive outcomes.
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