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Article

Sonographic Signs of Adenomyosis in Women with Endometriosis Are Associated with Infertility

1
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel
2
Meir Medical Center, Department of Obstetrics and Gynecology, Kfar Saba 4428164, Israel
3
Sheba Medical Center, Endometriosis Center, Department of Obstetrics and Gynecology, Ramat Gan 5262100, Israel
*
Author to whom correspondence should be addressed.
Academic Editor: Emmanuel Andrès
J. Clin. Med. 2021, 10(11), 2355; https://doi.org/10.3390/jcm10112355
Received: 5 May 2021 / Revised: 21 May 2021 / Accepted: 25 May 2021 / Published: 27 May 2021
We compared the prevalence of ultrasound signs of adenomyosis in women with endometriosis who underwent surgery to those who were managed conservatively. This was a retrospective study of women evaluated at a tertiary endometriosis referral center who underwent 2D/3D transvaginal ultrasound. Adenomyosis diagnosis was based on the presence of at least three sonographic signs. The study group subsequently underwent laparoscopic surgery while the control group continued conservative management. Statistical analysis compared the two groups for demographics, symptoms, clinical data, and sonographic findings. The study and control groups included 244 and 158 women, respectively. The presence of any, 3+, or 5+ sonographic signs of adenomyosis was significantly more prevalent in the study group (OR = 1.93–2.7, p < 0.004, 95% CI; 1.24–4.09). After controlling for age, for all findings but linear striations, the OR for having a specific feature was higher in the study group. Women in the study group with ≥ 5 sonographic signs of adenomyosis had more than twice the risk of experiencing infertility (OR = 2.31, p = 0.012, 95% CI; 1.20–4.45). Sonographic signs of adenomyosis are more prevalent in women with symptomatic endometriosis who underwent surgery compared with those who continued conservative management. Women with 5+ findings have a significantly increased risk of infertility. Adenomyosis on ultrasound should be considered in the management decisions regarding these patients. View Full-Text
Keywords: adenomyosis; endometriosis; infertility; transvaginal ultrasound; laparoscopic surgery; prevalence adenomyosis; endometriosis; infertility; transvaginal ultrasound; laparoscopic surgery; prevalence
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MDPI and ACS Style

Decter, D.; Arbib, N.; Markovitz, H.; Seidman, D.S.; Eisenberg, V.H. Sonographic Signs of Adenomyosis in Women with Endometriosis Are Associated with Infertility. J. Clin. Med. 2021, 10, 2355. https://doi.org/10.3390/jcm10112355

AMA Style

Decter D, Arbib N, Markovitz H, Seidman DS, Eisenberg VH. Sonographic Signs of Adenomyosis in Women with Endometriosis Are Associated with Infertility. Journal of Clinical Medicine. 2021; 10(11):2355. https://doi.org/10.3390/jcm10112355

Chicago/Turabian Style

Decter, Dean, Nissim Arbib, Hila Markovitz, Daniel S. Seidman, and Vered H. Eisenberg. 2021. "Sonographic Signs of Adenomyosis in Women with Endometriosis Are Associated with Infertility" Journal of Clinical Medicine 10, no. 11: 2355. https://doi.org/10.3390/jcm10112355

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