Three‐Dimensional Power Doppler Vascularization in Women With Ovarian Endometriomas and Relationship With Associated Painful Symptoms

Francesca Rizzello, Tommaso Capezzuoli, Ippolita D'Amato Scherbatoff, Mauro Cozzolino, Loredana Gandini, L. Gandini, Maria Elisabetta Coccia
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2017 · vol. 36(11) , pp. 2271–2278 · doi:10.1002/jum.14258 · PMID:28556312 · W2620292156
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This study found an inverse association between the severity of pain and three-dimensional power Doppler vascularization indices in women with ovarian endometriomas.

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Abstract

Objectives The objective of the study was to evaluate the correlation between endometrioma‐associated pain and lesion vascularization as measured with 3‐dimensional power Doppler transvaginal sonography. Methods Endometriomas were examined, and 4 indices were obtained: mean grayness, flow index, vascularization index, and vascularization‐flow index. Dysmenorrhea, chronic pelvic pain, and dyspareunia were analyzed in terms of severity, presence/absence, and duration. Results Twenty‐nine women were selected. The univariable association of painful symptoms in terms of presence/absence and duration was low with the exception of mean grayness with the presence of chronic pelvic pain (β = –0.106; P = .047; 95% confidence interval, 0.810 to 0.998). The R 2 value increased to 0.226 for dysmenorrhea (β = –0.475; P = .029) when analyzing the association between the vascularization index and the severity of painful symptoms. The visual analog scale scores for chronic pelvic pain and dyspareunia were higher ( R 2 = 0.300; β = –0.547 and –0.548, respectively; P = .028 and .053). Conclusions We observed an inverse association between the severity of pain and endometrioma vascularization. Further larger studies are required to confirm our findings.

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Condition tags

mesh:D004715mesh:D017699endometriomachronic_pelvic_paindysmenorrheadyspareunia

MeSH descriptors

Endometriosis Endometriosis Imaging, Three-Dimensional Ovarian Diseases Pelvic Pain Ultrasonography, Doppler Adult Endometriosis Female Humans Imaging, Three-Dimensional Ovarian Diseases Ovarian Diseases Ovary Ovary Pelvic Pain Prospective Studies Severity of Illness Index Ultrasonography, Doppler

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