The impact of treatment on endometrium ultrasound findings in reproductive age women with chronic endometritis

I. A. Ozerskaya, G. G. Kazaryan, А. И. Гус
In: Ultrasound & Functional Diagnostics · 2024 · pp. 96–115 · doi:10.24835/1607-0771-2023-4-96-115 · W4394015825
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study evaluated ultrasound findings in women with chronic endometritis before and after therapy, finding a significant decrease in most pathological signs and in endometrium thickness/volume.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

The paper assessed, via a retrospective cohort of 158 reproductive-age women with verified chronic endometritis, how B-mode ultrasound structural parameters of the endometrium changed from before to after complex etiotrpohic therapy. Ultrasound was performed twice during the first phase of the menstrual cycle, measuring uterine volume, endometrial thickness and volume, and the percentage of endometrial volume relative to uterine body volume, alongside echogenicity/structure features such as polypoid outgrowths, endometrial line closure, intrauterine fluid, gas bubbles, and M-echo contour. After treatment, none of the pathological signs fully regressed, but the frequency of most significantly decreased (p0.05); additionally, with uterine volume unchanged, there was a significant reduction in the thickness and volume of the mid-complex and in the endometrium-to-uterus volume ratio (p<0.05). This paper is centrally about endometriosis—though it studies chronic endometritis rather than endometriosis, it is included in the corpus via endometrial inflammatory ultrasound treatment keywords and proximity to reproductive uterine-pathology topics.

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Abstract

Purpose: to evaluate the dynamics of ultrasound parameter of structural changes of endometrium in B-mode before and after therapy in reproductive age women with chronic endometritis. Material and methods. A retrospective cohort study of 158 reproductive age patients (34.5 ± 6.5 years) with a established diagnosis of chronic endometritis was carried out. Ultrasound was performed twice prior and after comprehensive etiotropic therapy in the proliferative phase of the menstrual cycle with measurements of uterus volume, endometrium thickness and volume, with calculation of endometrial/uterine volume percentage ratio. Echogenicity and structure, including the presence of polyps, liquid in the uterine cavity, gas in the endometrial layer or on midline, the line of endometrial layers closure and the contour of endometrial midline were assessed. Results. There was no complete regress of any of pathological signs after treatment, but the frequency of most of them decreased significantly (p 0.05). In addition, a statistically significant decrease of endometrium thickness and volume, as well as endometrial/uterine volume ratio was obtained with a constant uterus volume (p < 0.05). Conclusion. The dynamic decrease in the frequency of revealing of the ultrasound signs in chronic endometritis on the background of comprehensive etiotropic therapy allows to assess a positive therapeutic benefits.

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Condition tags

disambig:endometritis

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (25)

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last seen: 2026-06-10T17:14:06.276822+00:00
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