Uterine size and endometrial thickness and the significance of cystic ovaries in women with pelvic pain due to congestion
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Ultrasound revealed larger uteri and thicker endometria in women with pelvic congestion, with many also presenting cystic ovaries, suggesting estrogen's role in these findings.
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Abstract
In a group of 55 women with chronic pain due to pelvic congestion measurement by ultrasound revealed they had a larger uterus and thicker endometrium as compared with a group of normal women matched for age, parity and the presence of polycystic ovaries found on ultrasound scanning. Many women with pelvic congestion (56%) were found on ultrasound to have cystic changes in their ovaries which ranged from a classic polycystic pattern to the appearance of clusters of 4-6 cysts in bilaterally enlarged ovaries. It is suggested that uterine enlargement and thickening of the endometrium are caused by oestrogen, either from the effects on the target organs of an increased concentration or of hypersensitivity to oestrogen.
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Cited by (16)
- Conservative treatment of pelvic venous disease 2021
- Pelvic Pain: Role of Imaging in the Diagnosis and Management 2021
- Pelvic congestion syndrome 2013
- Magnetic resonance imaging in women with pelvic pain from gynaecological causes: a pictorial review 2012
- Chronic Pelvic Pain 2005
- Initial experience with ovarian vein embolization for the treatment of chronic pelvic pain syndrome. 2003
- Transvaginal power Doppler ultrasound in pelvic congestion: A prospective comparison with transuterine venography 2003
- A randomized controlled trial of goserelin and medroxyprogesterone acetate in the treatment of pelvic congestion 2001
- Altered peripheral vascular response of women with and without pelvic pain due to congestion 2000
- Transvaginal Ultrasound Examination of Women With and Without Pelvic Venous Congestion 2000
- Chronic pelvic pain 1998
- Chronic pelvic pain: mind or matter? 1997
- Unexplained Chronic Pelvic Pain 1996
- Comparison of transvaginal sonography and bimanual pelvic examination in patients with laparoscopically confirmed endometriosis 1994
- The pelvic pain syndrome 1993
- Endometrial phospholipases A<sub>2</sub>, polycystic ovaries and pelvic pain 1992
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