Association between Endometrioma and Die and Other Gynecological Disease such as Endometrial Polyp, Myomas and Adenomyosis in Ultrasonography
Zahra Ahmadian Mazhin, Adeleh Dadkhah, Elham Kor, Ghazal Sadri, Shima Ghafourian Noroozi, Seyed Reza Saadat Mostafavi
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ABSTRACT
Background: Endometriosis, endometrial polyps,
adenomyosis, and uterine fibroids are benign diseases affecting women in
reproductive years. The similar characteristics and common estrogen-dependent
mechanisms of endometriosis with other disorders favor an association between
them.
Methods: In this cross-sectional study, we
reported the prevalence of endometrial polyps, adenomyosis, and fibroids in
women with endometriosis and then, investigated the possible associations
between them. 153 women diagnosed with endometriosis were included.
Demographic, anthropometric, and
gynecologic characteristics along with their symptoms were recorded. Also,
Sonographic indices of uterine and adnexes, DIE, and soft markers were
recorded.
Results: Investigating symptoms, 97.4% of them
experiences dysmenorrhea. Abdominal pain is much more prevalent than back pain
among patients with endometriosis. Dyspareunia is reported to be as high as
60.5%. Our study showed 30.3%, 25.5%, and 10.5% of the prevalence of
adenomyosis, uterine fibroids, and endometrial polyps in patients with
endometriosis. In addition, a positive association between adenomyosis and DIE,
between endometrial polyps and endometriosis severity, a negative correlation
between endometriomas and endometrial polyps and between adenomyosis and
endometriosis severity reported in our study.
Conclusion: Due to the remarkable relationship
between DIE and adenomyosis, having more information about adenomyosis, either
diagnostic and therapeutic, along with timely treatment could prevent
endometriosis.
Keywords:
Endometriosis, myoma, endometrial polyp, adenomyosis
ABSTRACT
Background: Endometriosis, endometrial polyps,
adenomyosis, and uterine fibroids are benign diseases affecting women in
reproductive years. The similar characteristics and common estrogen-dependent
mechanisms of endometriosis with other disorders favor an association between
them.
Methods: In this cross-sectional study, we
reported the prevalence of endometrial polyps, adenomyosis, and fibroids in
women with endometriosis and then, investigated the possible associations
between them. 153 women diagnosed with endometriosis were included.
Demographic, anthropometric, and
gynecologic characteristics along with their symptoms were recorded. Also,
Sonographic indices of uterine and adnexes, DIE, and soft markers were
recorded.
Results: Investigating symptoms, 97.4% of them
experiences dysmenorrhea. Abdominal pain is much more prevalent than back pain
among patients with endometriosis. Dyspareunia is reported to be as high as
60.5%. Our study showed 30.3%, 25.5%, and 10.5% of the prevalence of
adenomyosis, uterine fibroids, and endometrial polyps in patients with
endometriosis. In addition, a positive association between adenomyosis and DIE,
between endometrial polyps and endometriosis severity, a negative correlation
between endometriomas and endometrial polyps and between adenomyosis and
endometriosis severity reported in our study.
Conclusion: Due to the remarkable relationship
between DIE and adenomyosis, having more information about adenomyosis, either
diagnostic and therapeutic, along with timely treatment could prevent
endometriosis.