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Sonographic Signs of Adenomyosis Are Prevalent in Women Undergoing Surgery for Endometriosis and May Suggest a Higher Risk of Infertility
Joint Authors
Seidman, D.
Soriano, D.
Eisenberg, Vered H.
Arbib, Nissim
Schiff, Eyal
Goldenberg, Motti
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-09-18
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Objectives.
To determine the prevalence of ultrasound features suggestive of adenomyosis in women undergoing surgery for endometriosis compared with a control group of healthy women without endometriosis.
Methods.
Retrospective case-control study comparing women with intractable pain or infertility, who underwent transvaginal ultrasound and subsequent laparoscopic surgery, with a control group of healthy women without a previous history of endometriosis.
A diagnosis of adenomyosis on TVUS was made based on asymmetrical myometrial thickening, linear striations, myometrial cysts, hyperechoic islands, irregular endometrial-myometrial junction, parallel shadowing, and localized adenomyomas and analyzed for one sign and for three or more signs.
Results.
The study and control groups included 94 and 60 women, respectively.
In the study group, women were younger and had more dysmenorrhea and infertility symptoms.
The presence of any sonographic feature of adenomyosis, as well as three or more signs, was found to be more prevalent in the study group, which persisted after controlling for age, for all features but linear striations.
Women in the study group who had five or more sonographic features of adenomyosis had more than a threefold risk of suffering from infertility (OR = 3.19, p=0.015, 95% CI; 1.25–8.17).
There was no association with disease severity at surgery.
Conclusions.
Sonographic features of adenomyosis are more prevalent in women undergoing surgery for endometriosis compared to healthy controls.
Women with more than five features had an increased risk of infertility.
American Psychological Association (APA)
Eisenberg, Vered H.& Arbib, Nissim& Schiff, Eyal& Goldenberg, Motti& Seidman, D.& Soriano, D.. 2017. Sonographic Signs of Adenomyosis Are Prevalent in Women Undergoing Surgery for Endometriosis and May Suggest a Higher Risk of Infertility. BioMed Research International،Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1139292
Modern Language Association (MLA)
Eisenberg, Vered H.…[et al.]. Sonographic Signs of Adenomyosis Are Prevalent in Women Undergoing Surgery for Endometriosis and May Suggest a Higher Risk of Infertility. BioMed Research International No. 2017 (2017), pp.1-9.
https://search.emarefa.net/detail/BIM-1139292
American Medical Association (AMA)
Eisenberg, Vered H.& Arbib, Nissim& Schiff, Eyal& Goldenberg, Motti& Seidman, D.& Soriano, D.. Sonographic Signs of Adenomyosis Are Prevalent in Women Undergoing Surgery for Endometriosis and May Suggest a Higher Risk of Infertility. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-9.
https://search.emarefa.net/detail/BIM-1139292
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1139292