Ultrasound findings in infertile women with endometriosis: evidence of concomitant uterine disorders

Tommaso Capezzuoli, Silvia Vannuccini, Giulia Fantappiè, Giulia Orlandi, Francesca Rizzello, Maria Elisabetta Coccia, Felice Petraglia
Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology · 2020 · vol. 36(9) , pp. 808–812 · doi:10.1080/09513590.2020.1736027 · PMID:32133885 · W3009266558
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This study found that infertile women with suspected endometriosis frequently had concomitant uterine fibroids and/or adenomyosis, especially those over 35 years old.

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Abstract

Endometriosis is a gynecological disease characterized by pain and infertility. The diagnosis is very often made during the infertility work-up, together with other reproductive diseases and uterine disorders. A retrospective cohort study was conducted on infertile women with clinical or ultrasound suspect of endometriosis, undergoing an ultrasound (US) evaluation by a team of expert sonographers (n = 419), with the aim to evaluate the prevalence of concomitant uterine disorders. The US coexistence of endometriosis with uterine fibroids and/or adenomyosis was investigated according to three age intervals (<35years; 35 ≥ years <45; ≥45 years) and to endometriosis phenotypes: ovarian endometriosis (OMA), deep infiltrating endometriosis (DIE), or both. The US diagnosis of fibroids was made in 3.1% of cases, adenomyosis was found in 21.2%, and the co-existence of both uterine disorders with endometriosis was reported in 14.6% of patients. When analyzed according to age, patients aged >35 years were more likely to be affected by uterine fibroids (p = .003), adenomyosis (p = .030) and both adenomyosis and fibroids (p < .0001). No statistically significant association was found between endometriosis phenotypes and myometrial pathologies. Uterine disorders coexistence should be considered in the assessment of women with endometriosis, in order to better define a treatment strategy for infertility, especially in women older than 35 years.

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Condition tags

mesh:D004715endometriosisadenomyosisdie_deep_infiltratinginfertility

MeSH descriptors

Endometriosis Infertility, Female Peritoneal Diseases Uterine Diseases Uterus Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adult Cohort Studies Comorbidity Endometriosis Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Infertility, Female

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