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

Capezzuoli T, Tommaso Capezzuoli, Silvia Vannuccini, Giulia Fantappiè, Fantappiè G, Giulia Orlandi, Orlandi G, Rizzello F, Francesca Rizzello, Coccia ME, Maria Elisabetta Coccia, Petraglia F, 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

endometriosisadenomyosisdie_deep_infiltratinginfertility

MeSH descriptors

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

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (25)

Cited by (18)

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