Dysmenorrhoedauer in Abhängigkeit der Ausdehnung der Adenomyose in der T-2 gewichteten Magnetresonanztomographie (MRI)

The paper studied 70 patients with severe dysmenorrhea who had pelvic endometriosis confirmed by laparoscopy, stratifying them by dysmenorrhea duration (1–10 years vs >11 years) and performing T2-weighted uterine MRI. It found adenomyosis features on MRI in 52.5% of the shorter-duration group but in 87% of the longer-duration group, with junctional zone thickness significantly greater in the >11-year group (11.07 mm vs 6.38 mm), while the rAFS severity score for pelvic endometriosis did not differ significantly. A stated caveat is that the work did not establish a link between dysmenorrhea severity and specific deep infiltrating endometriosis locations (noted in the background), despite assessing MRI adenomyosis measures. This paper is centrally about adenomyosis in relation to endometriosis—specifically how dysmenorrhea duration and junctional zone expansion on T2-weighted MRI correlate in patients with endometriosis.

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