title: MR imaging of disorders associated with female infertility: use in diagnosis, treatment, and management.
abstract: Magnetic resonance (MR) imaging has extended the usefulness of imaging in evaluation of pelvic disorders associated with female infertility. The causes of female infertility include ovulatory disorders (ie, pituitary adenoma and polycystic ovarian syndrome), disorders of the fallopian tubes (ie, hydrosalpinx and pelvic inflammatory disease), uterine disorders (ie, müllerian duct anomaly, adenomyosis, and leiomyoma), and pelvic endometriosis. Although laparoscopy, hysteroscopy, hysterosalpingography, and transvaginal ultrasonography are the most effective techniques for evaluation of pelvic disorders related to female infertility, MR imaging is used in a variety of clinical settings in diagnosis, treatment, and management. The applications of MR imaging include evaluation of the functioning uterus and ovaries, visualization of pituitary adenomas, differentiation of müllerian duct anomalies, and accurate noninvasive diagnosis of adenomyosis, leiomyoma, and endometriosis. In addition, MR imaging helps predict the outcome of conservative treatment for adenomyosis, leiomyoma, and endometriosis and may lead to selection of better treatment plans and management. Finally, MR imaging may serve as an adjunct to diagnostic laparoscopy and hysterosalpingography in patients with hydrosalpinx, peritubal adhesions, or pelvic adhesions related to endometriosis.
authors: Department of Radiology, Tenri Hospital, 200 Mishima, Tenri, Nara 632-8552, Japan. iizumi@tenriyorozu-hp.or.jp
authors: Izumi
authors: I
authors: Imaoka
authors: Akihiko
authors: A
authors: Wada
authors: Michimasa
authors: M
authors: Matsuo
authors: Masumi
authors: M
authors: Yoshida
authors: Hajime
authors: H
authors: Kitagaki
authors: Kazuro
authors: K
authors: Sugimura
mesh_terms: D000328:Adult; D005260:Female; D005831:Genital Diseases, Female / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D005833:Genital Neoplasms, Female / Q000150:complications / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D005836:Genitalia, Female / Q000002:abnormalities / Q000473:pathology; D006801:Humans; D007247:Infertility, Female / Q000175:diagnosis / Q000209:etiology / Q000473:pathology* / Q000628:therapy; D008279:Magnetic Resonance Imaging / Q000379:methods; D010911:Pituitary Neoplasms / Q000150:complications / Q000175:diagnosis; D015175:Prolactinoma / Q000150:complications / Q000175:diagnosis; D025321:Surgery, Computer-Assisted