Emilio Piccione

Premenstrual syndrome is a common hormone-related condition marked by recurrent physical and affective symptoms that can substantially impair daily functioning. While cyclical ovarian hormone fluctuations are physiological, clinically relev…

Background: Nutritional status and lifestyle factors are increasingly recognized as relevant modulators of women's reproductive health. However, data remain limited on the relationship between body composition, dietary habits, and menstrual…

Endometriosis is a chronic, hormone-dependent disorder characterized by an inflammatory response. The disease affects approximately 10% of the general female population, with prevalence rates reaching 30-40% in women with dysmenorrhea and 5…

Nutritional factors play a crucial role in many gynecological disorders, particularly those influenced by estrogen. Uterine fibroids are benign tumors that affect a large proportion of women of reproductive age, especially between 30 and 40…

Endometriosis affects approximately 10% of premenopausal women worldwide. Despite its impact on quality of life, the delay in diagnosing this chronic disease is well known. Many patients with endometriosis report having suffered from dysmen…

The most recent international guidelines regarding recurrent pregnancy loss (RPL) exclude most of the immunological tests recommended for RPL since they do not reach an evidence-based level. Comparisons for metanalysis and systematic review…

OBJECTIVE: To evaluate transvaginal sonography (TVS) findings after laparoscopic partial cystectomy for bladder endometriosis and to correlate postsurgical ultrasound findings with symptoms. MATERIAL AND METHODS: A retrospective study incl…

OBJECTIVES: To evaluate transvaginal ultrasound (TVUS) findings in patients who underwent segmental rectosigmoid resection for deep infiltrating endometriosis (DIE) and to correlate postsurgical ultrasound findings with symptoms. METHODS: …

STUDY OBJECTIVE: To evaluate the ultrasound features, types, and degrees of adenomyosis among adolescents and to correlate these findings with clinical symptoms DESIGN: A retrospective observational study. SETTING: Gynecological ultrasound…

OBJECTIVE: To evaluate the ultrasonographic presence of different forms of endometriosis and the associated clinical symptoms in adolescent women. DESIGN: Retrospective observational study. SETTING: University hospital. PATIENT(S): Two h…

STUDY OBJECTIVE: To correlate the type and degree of adenomyosis, scored through a new system based on the features of transvaginal sonography, to patients' symptoms and fertility. DESIGN: This is a multicenter, observational, prospective …

To correlate type and degree of adenomyosis, scored through a new system based on transvaginal sonographic (TVS) features, to patient's symptoms and fertility. This is a multicentre, prospective study performed in two Endometriosis tertiary…

To assess the prevalence and ultrasound features of pelvic endometriosis in adolescents. This retrospective observational study included 238 adolescents (mean age 17.7 ±1.9 yrs.) referred to our Gynecological Clinic from January 2010 to Dec…

To determine the ultrasound feasibility and the interobserver reproducibility of a new classification of pelvic endometriosis based on an integration of the Enzian classification. 52 women with ultrasound features of endometriosis were enro…

This prospective study had the objective to compare anti-Müllerian hormone (AMH) serum levels among women with endometriomas and those with other benign ovarian cysts and verify a possible correlation between the AMH post-operative decline …

OBJECTIVE: To study the interobserver reproducibility of our new ultrasonographic mapping system to define the type and extension of uterine adenomyosis. DESIGN: Interobserver study involving two observers with different medical background…

STUDY OBJECTIVE: To assess the association between ovarian endometriomas detectable at transvaginal ultrasound (TVS) and other specific extraovarian lesions including adhesions, deep infiltrating endometriosis (DIE), and adenomyosis. DESIG…

BACKGROUND: Herlyn-Werner-Wunderlich syndrome (HWWS) is an uncommon congenital anomaly of the female urogenital tract, characterised by uterus didelphys, obstructed hemivagina, and ipsilateral renal agenesis. We reported the difficult pregn…

Ulipristal acetate (UPA) is used for medical treatment of uterine fibroids. The aim of this study was to describe the effects on painful symptoms and the sonographic uterine modifications in patients with adenomyosis erroneously treated wit…

In the last decade, pregnancy was considered as a therapeutic period for patients affected by endometriosis and painful symptoms. However, several studies have taken into consideration how endometriosis affects pregnancy achievement and pre…

To describe sonographic findings in patients with adenomyosis erroneously treated with ulipristal acetate (UPA). This an observational ultrasound (US) study on premenopausal patients who were treated with UPA for menorrhagia and uterine fib…

To correlate type and degree of adenomyosis using a new score system based on transvaginal sonographic (TVS) features to patients symptoms and fertility. A new score system able to evaluate the degree and the extension of uterine adenomyosi…

To purpose a score system based on transvaginal sonographic features of adenomyosis to assess the severity of the disease and to evaluate the diagnostic reproducibility by intraobserver analysis. Two experienced observers performed a review…

To investigate whether or not an ovarian endometrioma detected by ultrasound was associated with other appearances of pelvic endometriosis such as adhesions and/or deep infiltrating endometriosis (DIE) in order to improve the management of …