TIAL1 and adenomyosis: The pathophysiological process of uterine adenomyosis includes enhanced proliferation and migration of eutopic endometrial cells, along with abnormal contraction of EMI smooth muscle leading to tissue microtrauma that triggers TIAR, invasion of endometrial cells into the myometrium through EMI and colonization growth, and the occurrence of TIAR also enhances the activity of EMI smooth muscle cells.