Association between ultrasound features of adenomyosis and severity of menstrual pain

J Naftalin, W Hoo, N Nunes, Natalie Nunes, T Holland, Tom Holland, D Mavrelos, D Jurkovic
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2015 · vol. 47(6) , pp. 779–783 · doi:10.1002/uog.15798 · PMID:26499878 · W2144533474
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study found that women with adenomyosis on ultrasound experienced more severe menstrual pain, and increased numbers of adenomyosis ultrasound features correlated with greater pain severity.

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Abstract

OBJECTIVE: To investigate the association between the ultrasound features of adenomyosis and the severity of menstrual pain. METHODS: This was a prospective observational study set in the general gynecology clinic of a university teaching hospital between January 2009 and January 2010. A total of 718 consecutive premenopausal women aged between 17 and 55 years attended the clinic and underwent structured clinical and transvaginal ultrasound examinations in accordance with the study protocol. Morphological features of adenomyosis on ultrasound scan were recorded systematically. A quantitative assessment of menstrual pain was made by completion of a numerical rating scale (NRS). RESULTS: One hundred and fifty-seven (21.9% (95% CI, 18.8-24.9%)) women were diagnosed with adenomyosis on ultrasound. Multiple linear regression analysis showed that an ultrasound diagnosis of adenomyosis and ultrasound and laparoscopic diagnoses of endometriosis were significantly associated with menstrual pain when measured by an NRS. In addition, there was a statistically significant positive correlation between the severity of menstrual pain and the number of ultrasound features of adenomyosis seen. CONCLUSIONS: Women with ultrasound features of adenomyosis have more severe menstrual pain than do women without these features. The positive correlation between the number of ultrasound features of adenomyosis and the severity of menstrual pain could form the basis of a clinically relevant grading system for adenomyosis. A classification of severity of adenomyosis based on the number of ultrasound features present is a novel concept that should be evaluated prospectively in different populations. Copyright © 2015 ISUOG. Published by John Wiley & Sons Ltd.

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Outcome instruments

NRS-pain

Condition tags

mesh:D004412mesh:D004715endometriosisadenomyosis

MeSH descriptors

Adenomyosis Dysmenorrhea Endometriosis Adenomyosis Adolescent Adult Dysmenorrhea Endometriosis Female Humans Laparoscopy Middle Aged Prospective Studies Regression Analysis Ultrasonography Young Adult

Citation neighborhood

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References (23)

Cited by (50)

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