Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc
Journal website https://jcgo.elmerpub.com

Original Article

Volume 14, Number 4, December 2025, pages 155-160


Role of Vaginal Bromocriptine in Symptomatic Management of Adenomyosis

Figure

↓  Figure 1. Post-bromocriptine change in bleeding, pain, and stress.
Figure 1.

Tables

↓  Table 1. Baseline Characteristics of Women With Adenomyosis
 
Features N = 52, n (%)
aData expressed as median (interquartile range). bData expressed as mean ± SD. LNG-IUDs: levonorgestrel intrauterine device; NPRS: numeric pain rating scale; NSAIDs: nonsteroidal anti-inflammatory drugs; PBLAC: pictorial blood loss assessment chart; PSS: perceived stress scale.
Age (years)a 39 (36, 45)
Body mass index (kg/m2)b 25.6 ± 4.3
History of infertility 7 (13.5)
Previous cesarean section or uterine surgery 31 (59.6)
Nullipara 9 (17.3)
Primipara 3 (5.8)
Multipara 40 (76.9)
PBLAC score < 200 4 (7.8)
PBLAC score 200 to 300 32 (61.5)
PBLAC score > 300 16 (30.7)
Moderate pain (NPRS score 4 to 6) 4 (7.8)
Severe pain (NPRS score 7 to 10) 48 (92.2)
Low stress (PSS score 0 to 13) 2 (4)
Moderate stress (PSS score 14 to 26) 46 (88.4)
High stress (PSS score 27 to 40) 4 (7.8)
Prior medical treatment with NSAIDs 50 (96.2)
Prior medical treatment with tranexamic acid 41 (78.8)
Oral contraceptive 18 (34.6)
Prior treatment with LNG-IUDs 21 (40.4)
Anemia 46 (88.5)
Prolactin level (n = 24) (normal value < 25 ng/mL)b 24.3 ± 9.4
CA125 (n = 22) (normal value = 0 to 35 U/mL)b 72.2 ± 5.4

 

↓  Table 2. Follow-Up Data of Bleeding, Pain, and Stress
 
Parameters Baseline (n = 52) 3 months (n = 52) P value 6 moths (n = 52) P value 9 months (n = 50) P vale 12 months (n = 50) P value
IQR: interquartile range; NPRS: numeric pain rating scale; PBLAC: pictorial blood loss assessment chart; PSS: perceived stress scale.
PBLAC score (median, IQR) 235 (220 - 320) 232 (220 - 315) 0.806 115 (80 - 200) < 0.001 90 (80 - 190) < 0.001 95 (75 - 170) < 0.001
NPRS score (median, IQR) 8 (7 - 9) 7 (6 - 7) < 0.001 4 (4 - 5) < 0.001 4 (3 - 5) 0.20 2.5 (2 - 3) < 0.001
PSS score (median, IQR) 22 (20 - 24) 16 (14 - 18) < 0.001 11.5 (11 - 13) < 0.001 9 (9 - 10) < 0.001 8 (7 - 9) < 0.001

 

↓  Table 3. Transvaginal Ultrasound Findings of the Uterus
 
Features At baseline (n = 52) At 6-month follow-up of persistence of previous lesion (n = 52) P value
ns: not significant.
Myometrial cysts, n (%) 19 (36.5) 17 (32.7) ns
Hyperechogenic islands, n (%) 36 (69.2) 35 (67.3) ns
Echogenic sub-endometrial lines and buds, n (%) 34 (65.4) 32 (61.5) ns
Globular uterus, n (%) 36 (69.2) 31 (59.6) ns
Asymmetrical thickening of the myometrium, n (%) 41(78.8) 34 (65.4) 0.01
Translesional vascularity, n (%) 40 (76.9) 29 (55.8) 0.001
Irregular or interrupted junctional zone, n (%) 29 (55.7) 25 (48.1) 0.045
Parallel/fan-shaped shadowing, n (%) 35 (67.3) 34 (65.4) ns