Sonographic dimensions of the ovaries in different phases of the menstrual cycle in ukrainian girls with genital endometriosis without and regarding somatotype

O. A. Nyzova, H. V. Chaika, O. M. Kucherenko, A. V. Dereziuk, V. V. Strii, A. A. Tkach, A. A. Symonyshen
In: Reports of Vinnytsia National Medical University · 2025 · vol. 29(4) , pp. 587–593 · doi:10.31393/reports-vnmedical-2025-29(4)-05 · W7121006209
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Sonographic ovarian dimensions differed significantly in Ukrainian girls with endometriosis compared to healthy controls across menstrual cycle phases, with variations noted based on somatotype.

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This study evaluated sonographic ovarian dimensions in 89 Ukrainian girls with genital endometriosis during the follicular and luteal phases, assessing right and left ovary length, width/thickness, and volume, and additionally stratifying results by somatotype (mesomorph, ectomorph, ecto-mesomorph). As a comparison, uterine sonographic dimensions in 78 age-matched practically healthy Ukrainian girls were used, and group differences were tested with nonparametric statistics. The authors report that, compared with controls, girls with genital endometriosis showed significantly higher right ovary length and volume and lower (or trends toward lower) right and left ovarian width and lower left ovarian volume in both menstrual phases, with some somatotype-specific exceptions and additional findings for left and/or right thickness or length depending on subgroup and phase. The study states no significant differences or trends in ovarian dimensions across somatotypes in either the follicular or luteal phase. This paper is centrally about endometriosis — it measures phase-dependent sonographic ovarian dimensions in Ukrainian girls with genital endometriosis and evaluates how these relate to somatotype.

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Abstract

Annotation. Endometriosis is one of the most common chronic gynecological pathologies in women of reproductive age, associated with chronic pelvic pain, infertility and significant deterioration in the quality of life, which causes a high medical and social burden of the disease. The features of sonographic ovarian sizes in different phases of the menstrual cycle in Ukrainian girls with genital endometriosis, taking into account the somatotype, remain insufficiently studied, which determines the relevance of their comprehensive study. The aim of the study was to determine the peculiarities of sonographic dimensions of the ovaries in different phases of the menstrual cycle in Ukrainian girls with genital endometriosis, with and without taking somatotype into account. In 89 Ukrainian girls with genital endometriosis, sonographic dimensions of the ovaries were assessed in the follicular and luteal phases of the menstrual cycle, with and without considering somatotype. As a control, the primary sonographic dimensions of the uterus of 78 practically healthy Ukrainian girls of the same age were used. Statistical processing of the obtained results was performed using the licensed package «Statistica 6.0» with nonparametric evaluation methods. In Ukrainian girls with genital endometriosis without considering somatotype, as well as in mesomorphs, ectomorphs, and ecto-mesomorphs, compared with the corresponding groups of practically healthy girls, both in the follicular and in the luteal phases of the menstrual cycle, significantly higher values of the length and volume of the right ovary (except for volume in ecto-mesomorphs) and significantly lower values or tendencies toward lower values of the width of the right and left ovaries and the volume of the left ovary were found. Only in patients without taking somatotype into account, compared with the corresponding groups of practically healthy girls, significantly lower values of the length and thickness of the left ovary were established in the follicular and luteal phases of the menstrual cycle, and only in ecto-mesomorph patients significantly lower values of the thickness of the left ovary were observed. Only in the follicular phase of the menstrual cycle, in mesomorph patients compared with practically healthy mesomorph girls, a significantly lower value of the thickness of the left ovary was found, and only in the luteal phase of the menstrual cycle significantly lower values of the thickness of the right ovary were observed in patients without taking somatotype into account and in ecto-mesomorphs, as well as a lower length of the left ovary in ectomorph patients. Both in the follicular and in the luteal phases of the menstrual cycle, when comparing the sonographic dimensions of the ovaries among patients of different somatotypes, virtually no significant differences or trends in the magnitude of these indicators were established.
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Sonographic dimensions of the ovaries in different phases of the menstrual cycle in ukrainian girls with genital endometriosis without and regarding somatotype DOI: https://doi.org/10.31393/reports-vnmedical-2025-29(4)-05Keywords: obstetrics and gynecology, sonographic ovarian dimensions, different phases of the menstrual cycle, somatotype, practically healthy and Ukrainian girls with genital endometriosis.Abstract Annotation. Endometriosis is one of the most common chronic gynecological pathologies in women of reproductive age, associated with chronic pelvic pain, infertility and significant deterioration in the quality of life, which causes a high medical and social burden of the disease. The features of sonographic ovarian sizes in different phases of the menstrual cycle in Ukrainian girls with genital endometriosis, taking into account the somatotype, remain insufficiently studied, which determines the relevance of their comprehensive study. The aim of the study was to determine the peculiarities of sonographic dimensions of the ovaries in different phases of the menstrual cycle in Ukrainian girls with genital endometriosis, with and without taking somatotype into account. In 89 Ukrainian girls with genital endometriosis, sonographic dimensions of the ovaries were assessed in the follicular and luteal phases of the menstrual cycle, with and without considering somatotype. As a control, the primary sonographic dimensions of the uterus of 78 practically healthy Ukrainian girls of the same age were used. Statistical processing of the obtained results was performed using the licensed package «Statistica 6.0» with nonparametric evaluation methods. In Ukrainian girls with genital endometriosis without considering somatotype, as well as in mesomorphs, ectomorphs, and ecto-mesomorphs, compared with the corresponding groups of practically healthy girls, both in the follicular and in the luteal phases of the menstrual cycle, significantly higher values of the length and volume of the right ovary (except for volume in ecto-mesomorphs) and significantly lower values or tendencies toward lower values of the width of the right and left ovaries and the volume of the left ovary were found. Only in patients without taking somatotype into account, compared with the corresponding groups of practically healthy girls, significantly lower values of the length and thickness of the left ovary were established in the follicular and luteal phases of the menstrual cycle, and only in ecto-mesomorph patients significantly lower values of the thickness of the left ovary were observed. Only in the follicular phase of the menstrual cycle, in mesomorph patients compared with practically healthy mesomorph girls, a significantly lower value of the thickness of the left ovary was found, and only in the luteal phase of the menstrual cycle significantly lower values of the thickness of the right ovary were observed in patients without taking somatotype into account and in ecto-mesomorphs, as well as a lower length of the left ovary in ectomorph patients. Both in the follicular and in the luteal phases of the menstrual cycle, when comparing the sonographic dimensions of the ovaries among patients of different somatotypes, virtually no significant differences or trends in the magnitude of these indicators were established. Downloads References Aarestrup, J., Jensen, B. W., Ulrich, L. G., Hartwell, D., Trabert, B., & Baker, J. L. (2020). Birth weight, childhood body mass index and height and risks of endometriosis and adenomyosis. 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