Does the diameter of an endometrioma predict the extent of pelvic adhesions associated with endometriosis?

Hakan Kaya, Mekin Sezik, Mekin Sezi̇k, Okan Özkaya, Okan Ozkaya, Hasan Şahiner, Hasan Sahiner, Demir Ozbaşar, Demir Özbaşar
The Journal of reproductive medicine · 2005 · vol. 50(3) , pp. 198–202 · PMID:15841933 · W81745246
article OA: closed CC0 ⤵ 9 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study found no correlation between ovarian endometrioma diameter and the extent of pelvic adhesions, suggesting smaller endometriomas can still be associated with significant adhesions.

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Abstract

OBJECTIVE: To correlate ovarian endometrioma diameter with the extent of pelvic adhesions. STUDY DESIGN: Forty women with unilateral ovarian cysts thought to be endometriomas were prospectively recruited. The interventions were transvaginal ultrasound to measure the size of the ovarian endometrioma and a laparoscopic surgical procedure, including detailed pelvic assessment. Main outcome measures were pelvic adhesion scores using the American Fertility Society revised classification of endometriosis. RESULTS: Thirty-two women met the inclusion criteria. Twelve had an endometrioma 5 cm. Adhesion scores from various anatomic areas did not differ across these 3 groups. No correlation between the size of the endometrioma and associated pelvic adhesions was found using multiple regression analysis. CONCLUSION: The size of an endometrioma measured by transvaginal ultrasound does not correlate with the extent of adhesive disease. Small (< 3 cm) endometriomas may be associated with a considerable degree of pelvic adhesions.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Ovarian Cysts Adult Endometriosis Endometriosis Female Humans Middle Aged Ovarian Cysts Ovarian Cysts Pelvis Pelvis Prognosis Tissue Adhesions Ultrasonography Vagina Vagina

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Cited by (9)

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License: CC0 · commercial use OK