Sonographic dimensions of the uterus in different phases of the menstrual cycle in Ukrainian girls with genital endometriosis without and with regard to somatotype

In: Reports of Vinnytsia National Medical University · 2025 · vol. 29(3) , pp. 379–384 · doi:10.31393/reports-vnmedical-2025-29(3)-03 · W4415226333
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This study determined uterine sonographic dimensions in Ukrainian girls with endometriosis across the menstrual cycle and somatotypes, finding smaller uterine body length and endometrial thickness in endometriosis patients compared to controls.

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The study examined sonographic dimensions of the uterus during the follicular and luteal phases of the menstrual cycle in 89 Ukrainian girls with genital endometriosis, additionally stratifying uterine measurements by somatotype using the Heath-Carter method, and comparing results with 78 age-matched practically healthy controls. In girls with genital endometriosis, uterine body length and endometrial thickness in the follicular phase were significantly smaller than in healthy controls across somatotypes, with the largest differences reported in ecto-mesomorphs; in the luteal phase, uterine body length and width and endometrial thickness (when not accounting for somatotype) were also smaller while the uterus anterior-posterior size was larger, with differences varying by somatotype. The paper reports no significant differences or trends between endometriosis groups of different somatotypes when comparing follicular versus luteal phase uterine dimensions. This paper is centrally about endometriosis — it focuses on how uterine ultrasound dimensions vary across menstrual phases in Ukrainian adolescents with genital endometriosis, considering somatotype.

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Abstract

Annotation. The prevalence of endometriosis among adolescents is increasing, which requires improving approaches to its early diagnosis. Individual anthropometric characteristics can affect the parameters of the reproductive system, which should be taken into account during ultrasound examination. The aim of the study is to determine the features of the sonographic dimensions of the uterus in the follicular and luteal phases of the menstrual cycle in Ukrainian girls with genital endometriosis without and taking into account the somatotype. In 89 Ukrainian girls with genital endometriosis, the sonographic dimensions of the uterus in the follicular and luteal phases of the menstrual cycle without and taking into account the somatotype were determined using the Heath-Carter method. The control was the initial sonographic dimensions of the uterus of 78 practically healthy Ukrainian girls of the same age. Statistical processing of the obtained results was carried out in the licensed package «Statistica 6.0» using non-parametric evaluation methods. It was found that in Ukrainian girls with genital endometriosis, regardless of somatotype, representatives of mesomorphic, ectomorphic and ecto-mesomorphic somatotypes, the length of the uterine body and the thickness of the endometrium in the follicular phase of the menstrual cycle are significantly smaller (most pronounced in ecto-mesomorphs) than the corresponding sonographic dimensions of the uterus in practically healthy Ukrainian girls of similar groups; the length of the uterine body, the width of the uterus and the thickness of the endometrium in the luteal phase of the menstrual cycle in girls without taking into account somatotype, representatives of mesomorphic, ectomorphic and ecto-mesomorphs are significantly smaller (except for the thickness of the endometrium, most pronounced in ecto-mesomorphs), and the anterior-posterior size of the uterus is significantly larger (most pronounced in ectomorphs) than the corresponding sonographic dimensions of the uterus in practically healthy Ukrainian girls of similar groups. No significant differences or trends were found between girls with genital endometriosis of different somatotypes when comparing sonographic dimensions of the uterus in the follicular and luteal phases of the menstrual cycle.
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Sonographic dimensions of the uterus in different phases of the menstrual cycle in Ukrainian girls with genital endometriosis without and with regard to somatotype DOI: https://doi.org/10.31393/reports-vnmedical-2025-29(3)-03Keywords: obstetrics and gynecology, practically healthy and young women with genital endometriosis, uterine sonography, somatotype.Abstract Annotation. The prevalence of endometriosis among adolescents is increasing, which requires improving approaches to its early diagnosis. Individual anthropometric characteristics can affect the parameters of the reproductive system, which should be taken into account during ultrasound examination. The aim of the study is to determine the features of the sonographic dimensions of the uterus in the follicular and luteal phases of the menstrual cycle in Ukrainian girls with genital endometriosis without and taking into account the somatotype. In 89 Ukrainian girls with genital endometriosis, the sonographic dimensions of the uterus in the follicular and luteal phases of the menstrual cycle without and taking into account the somatotype were determined using the Heath-Carter method. The control was the initial sonographic dimensions of the uterus of 78 practically healthy Ukrainian girls of the same age. Statistical processing of the obtained results was carried out in the licensed package «Statistica 6.0» using non-parametric evaluation methods. It was found that in Ukrainian girls with genital endometriosis, regardless of somatotype, representatives of mesomorphic, ectomorphic and ecto-mesomorphic somatotypes, the length of the uterine body and the thickness of the endometrium in the follicular phase of the menstrual cycle are significantly smaller (most pronounced in ecto-mesomorphs) than the corresponding sonographic dimensions of the uterus in practically healthy Ukrainian girls of similar groups; the length of the uterine body, the width of the uterus and the thickness of the endometrium in the luteal phase of the menstrual cycle in girls without taking into account somatotype, representatives of mesomorphic, ectomorphic and ecto-mesomorphs are significantly smaller (except for the thickness of the endometrium, most pronounced in ecto-mesomorphs), and the anterior-posterior size of the uterus is significantly larger (most pronounced in ectomorphs) than the corresponding sonographic dimensions of the uterus in practically healthy Ukrainian girls of similar groups. No significant differences or trends were found between girls with genital endometriosis of different somatotypes when comparing sonographic dimensions of the uterus in the follicular and luteal phases of the menstrual cycle. Downloads References Aarestrup, J., Gamborg, M., Ulrich, L. G., Sørensen, T. I. A., & Baker, J. L. (2016). Childhood body mass index and height and risk of histologic subtypes of endometrial cancer. International journal of obesity, 40(7), 1096-1102. doi: 10.1038/ijo.2016.56 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. Annals of human biology, 47(2), 173-180. doi: 10.1080/03014460.2020.1727011 Aune, D., Rosenblatt, D. N., Chan, D. S. M., Vingeliene, S., Abar, L., Vieira, A. R., ... & Norat, T. (2015). 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