Age features of uterine motility in infertile women with adenomyosis, uterine fibroids, and their combination

И. З. Гладчук, N. N. Rozhkovskaya, N. D. Garbuzenko, N. A. Stamova
In: HEALTH OF WOMAN · 2016 · pp. 153–156 · doi:10.15574/hw.2016.109.153 · W3092077839
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This study investigated age-related uterine peristalsis in infertile women with adenomyosis, fibroids, or both, finding increased disperistaltic waves and specific wave types associated with age and infertility duration.

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This study examined uterine peristalsis in 218 infertile women with adenomyosis, uterine fibroids, or their combination, using ultrasound methods based on Lyons’ approach and analyzing results by age. Women with adenomyosis had a significantly higher frequency of disperistaltic waves (p<0.001), and type D waves were found in all patients after age 39, while the quantity of type A and B waves decreased in those with adenomyosis and with “hysteromyoma” (p5 years (p<0.05), and the authors’ conclusion is framed with an age-specific implication for fertility treatment selection, which limits interpretability beyond their dataset and design. This paper is centrally about endometriosis and/or adenomyosis — it specifically investigates uterine peristalsis patterns in infertile women with adenomyosis across age groups.

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- Age features of uterine motility in infertile women with adenomyosis, uterine fibroids, and their combination Age features of uterine motility in infertile women with adenomyosis, uterine fibroids, and their combination HEALTH OF WOMAN. 2016.3(109):153–156; doi 10.15574/HW.2016.109.153 Age features of uterine motility in infertile women with adenomyosis, uterine fibroids, and their combination Gladchuk I. Z., Rozhkovskaya N. N., Garbuzenko N. D., Stamova N. A. Odessa National Medical University The objective: was to investigate uterine peristalsis in women with infertility and adenomyosis, uterine fibroids, and their combination, using ultrasound by E. Lyons, depending on age. Patients and methods. Examination of uterine peristalsis has been conducted in 218 infertile women suffering uterus hyperplastic processes. Results. Significant increase of disperistaltic waves frequency has been found in patients suffering adenomyosis (p<0.001). Type D waves are found in all patients after 39. Significant decrease of type A and B waves quantity is identified in patients suffering adenomyosis and hysteromyoma (p<0.02). Disperistaltic waves are observed significantly more frequently (p<0.05) in patients suffering adenomyosis and with infertility duration of more than 5 years. Conclusion. Patients aged 30–35 years suffering adenomyosis and uterine peristalsis disorder should be recommended one of the IVF methods, thus avoiding intrauterine insemination. Key words: adenomyosis, uterus fibroid, infertility, uterine peristalsis. REFERENCES 1. Becker W, Steck T, Alber P, Borne W. 1998. Hystero-salpingoscintigraphy: a simple and accuratemethod of evulating Fallopian tube patency. Nuclearmedizin 27:252-257. 2. Kissler S, Wildt L, Kohl J, Ahr A, Kaufmann M, Siebzehnrьbl E. 2002. Gestцrte Transportfunction in der Hysterosalpingoszintigraphie (HSSG) als prдdiktiver Functionstest fьr die Durchfьhrung einer IVF-Therapie. Zentralbl Gynakol. 124:418-422. http://dx.doi.org/10.1055/s-2002-38195; PMid:12655471 3. Kunz G, Beil D, Deininger H, Wildt L and Leyendeker G. 1996. The dynamics of rapid sperm transport through the female genital tract: evidence from vaginal sonography of uterine peristalsis and hysterosalpingoscintigraphy. Human Reproduction 11/3:627-632. http://dx.doi.org/10.1093/HUMREP/11.3.627 4. Lyons EA, Taylor PJ, Zheng XH, Ballard G, Levi CS and Kredentser JV. 1991. Characterization of subendometrial myometrial contractions throughout the menstrual cycle in normal fertile women. Fertil. Steril. 55:771-775. http://dx.doi.org/10.1016/S0015-0282(16)54246-0 5. Starzinski-Powitz A, Zeitvogel A, Schreiner A, Baumann R. 2001. In search of pathogenic mechanisms in Endometriosis: Chalenge for Molecular Cell Biology. Current Mollecular Medicine 1:633-642. http://dx.doi.org/10.2174/1566524013363168 6. Zeitvogel A, Schreiner A, Baumann R and Starzinski-Powitz A. 2000. Can we define pathological parameters for endometriosis? Cell and Molecular Biology of Endometrium in Health and Desease. Proceedings of the International Symposium on Cell and Molecular Biology of Endometrium. Kobe, Japan: 26-36. 7. Zаporozhan VN, Cehelsky МR. 2002. Ginekologichna patologia. Atlas.-Odesa: Odes.Derzh.Med.Un-t: 308. 8. Zaporozhan VN, Gladchuk IZ, Rogachevsky AP. 2005. Matochna pompa. Est li dokazatelstva ee sushestvovania? Reproductivnoe zdorovie zenshciny 4(24):26-28. 9. Zaporozhan VN, Gladchuk IZ, Rogachevsky AP, Baumann R. 2005. Osoblivosty vnutrishnomatkovogo transportu albuminovykch microsfer, michenykch isotopom Тс-99m, u besplidnykch zhinok s endomeytriosom. Pediatria, akusherstvo i gynecologia 5:98-102. 10. Taceichi M. 1991. Cadherin cell adhesion receptors as a morphogenetic regulator Science 251:451-145. http://dx.doi.org/10.1126/science.2006419

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