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

Tables

Table 1. Baseline Characteristics of Women With Adenomyosis
 
FeaturesN = 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)a39 (36, 45)
Body mass index (kg/m2)b25.6 ± 4.3
History of infertility7 (13.5)
Previous cesarean section or uterine surgery31 (59.6)
Nullipara9 (17.3)
Primipara3 (5.8)
Multipara40 (76.9)
PBLAC score < 2004 (7.8)
PBLAC score 200 to 30032 (61.5)
PBLAC score > 30016 (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 NSAIDs50 (96.2)
Prior medical treatment with tranexamic acid41 (78.8)
Oral contraceptive18 (34.6)
Prior treatment with LNG-IUDs21 (40.4)
Anemia46 (88.5)
Prolactin level (n = 24) (normal value < 25 ng/mL)b24.3 ± 9.4
CA125 (n = 22) (normal value = 0 to 35 U/mL)b72.2 ± 5.4

 

Table 2. Follow-Up Data of Bleeding, Pain, and Stress
 
ParametersBaseline (n = 52)3 months (n = 52)P value6 moths (n = 52)P value9 months (n = 50)P vale12 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)0.806115 (80 - 200)< 0.00190 (80 - 190)< 0.00195 (75 - 170)< 0.001
NPRS score (median, IQR)8 (7 - 9)7 (6 - 7)< 0.0014 (4 - 5)< 0.0014 (3 - 5)0.202.5 (2 - 3)< 0.001
PSS score (median, IQR)22 (20 - 24)16 (14 - 18)< 0.00111.5 (11 - 13)< 0.0019 (9 - 10)< 0.0018 (7 - 9)< 0.001

 

Table 3. Transvaginal Ultrasound Findings of the Uterus
 
FeaturesAt 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