Development of endometriosis and adenomyosis at long-term follow-up of women without abnormal findings at initial ultrasound examination.

Sofie Orlov, Povilas Sladkevicius, Ligita Jokubkiene

Research output: Contribution to conferenceAbstractpeer-review

Abstract

Objectives: Investigate if women with symptoms suggestive of endometriosis and no abnormal ultrasound findings at initial examination develop endometriosis lesions or adenomyosis visible at ultrasound examination at long-term follow-up.
Methods: One hundred women were included in this prospective cohort study performed at the Ultrasound Unit, Department of Obstetrics and Gynecology, Skåne University Hospital, Malmö, Sweden. An experienced ultrasound examiner performed transvaginal ultrasound examinations according to the International Deep Endometriosis Analysis (IDEA) group consensus protocol at five-yearlong-term follow-up. Direct and indirect features of adenomyosis were evaluated in accordance with the revised definitions of Morphological Uterus Sonographic Assessment (MUSA).
Results: Endometriosis lesions at follow-up were found in eight women (8%, 95%CI 3.5-15.2%): endometrioma in seven women (7%, 95%CI 2.9-13.9%) and deep endometriosis in four women (4%, 95%CI 1.1-10.0%). Features of adenomyosis were observed in 13 women (13%, 95% CI 7.1-21.2%): direct features in six women (6%, 95%CI 2.2-12.6%) and only indirect features in seven women (7%, 95%CI 2.9-13.9%).
Conclusions: Despite no prior signs of endometriosis and adenomyosis at initial ultrasound examination, endometriosis lesions were found in 8% and direct features of adenomyosis in 6% at long-term follow-up of women with symptoms suggestive of endometriosis and adenomyosis. These findings demonstrate that endometriosis lesions and adenomyosis visible at ultrasound develop during the five years period.
Original languageEnglish
Pages298
Number of pages1
DOIs
Publication statusPublished - 2023 Oct
EventWorld congress on Ultrasound in Obstetrics and gynecology, Seoul, October 2024 - COEX, Seoul, Korea, Republic of
Duration: 2023 Oct 162023 Oct 19

Conference

ConferenceWorld congress on Ultrasound in Obstetrics and gynecology, Seoul, October 2024
Abbreviated titleISUOG
Country/TerritoryKorea, Republic of
CitySeoul
Period2023/10/162023/10/19

Subject classification (UKÄ)

  • Obstetrics, Gynecology and Reproductive Medicine

Free keywords

  • Endometriosis
  • Adenomyosis
  • ultrasonography
  • Follow-up
  • Natural history

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