Ovulation and the Periovulatory Follicle

In: Transvaginal Colour Doppler · 1995 · pp. 119–130 · doi:10.1007/978-3-642-79264-9_13 · W45077424
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Transvaginal color flow imaging facilitates the study of pelvic angiogenesis in the ovary and endometrium, aiding the diagnosis of pelvic cancers and reproductive function.

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This chapter reviews how transvaginal color Doppler ultrasound can detect vascular changes around the peri-ovulatory period, focusing on angiogenesis-like activity in the ovarian follicle and corpus luteum and vascularity changes in the endometrium. It links the capacity to recognize early vascular patterns to improving diagnosis of both pelvic cancers and normal vs abnormal ovarian and uterine function, and frames future prospects for monitoring vascularity to understand reproductive pathophysiology. A key caveat is that the text is largely a methodological and conceptual overview rather than presenting new primary results. Relevance to endometriosis: the chapter discusses pelvic reproductive vascularity and uterine-endometrial angiogenic processes assessed by transvaginal Doppler, which are mechanistically related to endometrial pathology in endometriosis, though it does not explicitly address endometriosis.

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Abstract

The introduction and use of transvaginal colour flow imaging has facilitated the study of vascular changes within the pelvis. The follicle and corpus luteum of the ovary and the endometrium of the uterus are the only areas in a normal adult body where angiogenesis (the development of new blood vessels) occurs to any significant extent; the same process occurs during the growth of carcinomas. The ability to recognise these early vascular changes with colour Doppler is facilitating the diagnosis of pelvic cancers as well as normal and abnormal ovarian and uterine function. It seems likely that this technique will lead to a greater understanding of how vessel growth is involved in reproductive pathophysiology. The ability to monitor changes in vascularity may enable the development of methods to inhibit or enhance angiogenic activity in vivo. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

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In: Bourne, T., Jauniaux, E., Jurkovic, D. (eds) Transvaginal Colour Doppler. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79264-9_13 Download citation DOI: https://doi.org/10.1007/978-3-642-79264-9_13 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-642-79266-3 Online ISBN: 978-3-642-79264-9 eBook Packages: Springer Book Archive

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