Transvaginal colour Doppler in patients with ovarian endometriomas and pelvic pain

Alcázar Jl, J. L. Alcázar, Juan Luis Alcázar
Human Reproduction · 2001 · vol. 16(12) , pp. 2672–2675 · doi:10.1093/humrep/16.12.2672 · PMID:11726594 · W2098515399
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Transvaginal color Doppler assessment revealed increased ovarian endometrioma vascularization, characterized by higher blood flow and lower pulsatility index, in patients experiencing pelvic pain compared to asymptomatic individuals.

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Abstract

BACKGROUND: The aim of this investigation was to correlate ovarian endometrioma vascularization with the presence of pelvic pain. METHODS: The presence of blood flow, peak systolic velocity (PSV, cm/s) and lowest pulsatility index (PI), assessed by transvaginal colour Doppler ultrasonography and CA-125 plasma concentrations, were retrospectively analysed in 74 patients who had undergone operations for cystic ovarian endometriosis. Fifty-two patients were asymptomatic (group A) and 22 presented with pelvic pain (group B). There were 56 endometriomas in group A and 26 in group B. RESULTS: Blood flow was found in 66.1 and 88.5% of endometriomas in groups A and B respectively (P = 0.036). PI was significantly lower (P = 0.009) and CA-125 concentration higher (P = 0.0004) in group B. There were no differences in PSV. CONCLUSIONS: We conclude that vascularization of ovarian endometriomas in patients presenting with pelvic pain is higher than in asymptomatic patients. This could be an indicator of endometriosis activity.

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Condition tags

endometriosischronic_pelvic_painendometrioma

MeSH descriptors

Endometriosis Ovarian Diseases Ovary Pelvic Pain Pelvic Pain Ultrasonography, Doppler, Color Adult Blood Flow Velocity CA-125 Antigen CA-125 Antigen Endometriosis Endometriosis Endometriosis Female Humans Middle Aged Ovarian Cysts Ovarian Cysts Ovarian Cysts Ovarian Cysts

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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