title: Evaluation of utero-ovarian hemodynamics in relation to fertility and stage of endometriosis.
abstract: The aim of this study was to compare hemodynamic changes in the uterine and ovarian arteries between infertile women with moderate and/or severe endometriosis and healthy women. In this prospective study, 99 women in their generative age were subjected to color Doppler ultrasonography to measure hemodynamic parameters from July 2010 to January 2011. The examination was performed during the proliferative or ovulatory phase of the natural menstrual cycle in a random sample of 54 women treated for endometriosis-induced infertility and 45 healthy women were included in control examination procedure. Irrespective of considered stage, endometriosis was most often found in the ovaries, in the sacro-uterine ligaments, peritoneum, and rectovaginally. Resistance to blood flow expressed as the resistance index (RI) in the measured arteries, was significantly higher in severe endometriosis compared to moderate form. Average values of pulsation index (PI) and RI are significantly higher, in both endometriosis stages, compared to measured values in healthy women.
authors: Narodni Front Clinic of Gynaecology and Obstetrics, University of Belgrade, School of Medicine, Belgrade, Serbia. radomir.anicic@gmail.com
authors: R
authors: R
authors: Anicic
authors: M
authors: M
authors: Djukic
authors: S
authors: S
authors: Rakic
authors: M
authors: M
authors: Vasiljevic
authors: D
authors: D
authors: Dimitrijevic
authors: S
authors: S
authors: Milicevic
mesh_terms: D000328:Adult; D004715:Endometriosis / Q000150:complications / Q000473:pathology*; D005260:Female; D005498:Follicular Phase / Q000502:physiology; D006439:Hemodynamics; D006801:Humans; D007247:Infertility, Female / Q000150:complications / Q000503:physiopathology*; D010053:Ovary / Q000000981:diagnostic imaging / Q000503:physiopathology*; D011446:Prospective Studies; D011673:Pulsatile Flow / Q000502:physiology; D012039:Regional Blood Flow; D018615:Ultrasonography, Doppler, Color; D014599:Uterus / Q000000981:diagnostic imaging / Q000503:physiopathology*