A Salamanca1, E Beltrán. 1. Department of Obstetrics and Gynecology, University of Granada Medical School, Spain.
Abstract
OBJECTIVE: To describe the propagation direction of the subendometrial myometrial contractile wave in menstrual phase sonographically assessed in patients with and without endometriosis. DESIGN: Prospective study. SETTING: Patients and normal volunteers in a university hospital. PATIENTS: Sixteen women with (study group) and 21 without (control group) endometriosis. INTERVENTIONS: Patients were examined by transvaginal sonography (midsaggital plane of the uterus) and recorded on videotape for a 5-minute period. MAIN OUTCOME MEASURE: Direction of propagation of contraction waves. RESULTS: The endometriosis group showed a predominant retrograde pattern whereas the control group showed a normal antegrade. CONCLUSION: This abnormal cervix-to-fundus myometrial activity could well increase the amount of peritoneal shedding of endometrial menstrual debris, increasing the probabilities of its heterotopic implantation.
OBJECTIVE: To describe the propagation direction of the subendometrial myometrial contractile wave in menstrual phase sonographically assessed in patients with and without endometriosis. DESIGN: Prospective study. SETTING:Patients and normal volunteers in a university hospital. PATIENTS: Sixteen women with (study group) and 21 without (control group) endometriosis. INTERVENTIONS:Patients were examined by transvaginal sonography (midsaggital plane of the uterus) and recorded on videotape for a 5-minute period. MAIN OUTCOME MEASURE: Direction of propagation of contraction waves. RESULTS: The endometriosis group showed a predominant retrograde pattern whereas the control group showed a normal antegrade. CONCLUSION: This abnormal cervix-to-fundus myometrial activity could well increase the amount of peritoneal shedding of endometrial menstrual debris, increasing the probabilities of its heterotopic implantation.
Authors: Giovanni Grandi; Angela Toss; Laura Cortesi; Laura Botticelli; Annibale Volpe; Angelo Cagnacci Journal: Biomed Res Int Date: 2015-08-30 Impact factor: 3.411