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Changes in ultrasound morphology of the uterus and ovaries during the menopausal transition and early postmenopause: a 4-year longitudinal study

Sokalska, A and Valentin, Lil LU (2008) In Ultrasound in Obstetrics & Gynecology 31(2). p.210-217
Abstract
Objectives To describe changes in uterine and ovarian size and morphology as determined by ultrasonography from 2 years before to 2 years after menopause. Methods Twenty 50-year-old women with fairly regular vaginal bleeding at the start of the study underwent transvaginal ultrasound examination every 3 months until 12 months postmenopause, then every 6 months until 24 months postmenopause. The results are presented from 2 years before to 2 years after the menopause. Results In the 2 years preceding menopause all the women were in menopausal transition. From 2 years before to 2 years after menopause uterine anteroposterior diameter decreased by 22% (mean) and left and right ovarian volumes by 45 and 20% (median), respectively. At 2 years... (More)
Objectives To describe changes in uterine and ovarian size and morphology as determined by ultrasonography from 2 years before to 2 years after menopause. Methods Twenty 50-year-old women with fairly regular vaginal bleeding at the start of the study underwent transvaginal ultrasound examination every 3 months until 12 months postmenopause, then every 6 months until 24 months postmenopause. The results are presented from 2 years before to 2 years after the menopause. Results In the 2 years preceding menopause all the women were in menopausal transition. From 2 years before to 2 years after menopause uterine anteroposterior diameter decreased by 22% (mean) and left and right ovarian volumes by 45 and 20% (median), respectively. At 2 years before the menopause the total number of intraovarian follicle-like cystic structures varied from 0 to S, at the menopause from 0 to 7, and at I and 2 years after the menopause from 0 to 4 and from 0 to 2, respectively. Premenopause, the most common finding was that of ovaries containing either no follicles or a few follicles with at least one measuring >= 11 mm and simultaneously a hyperechogenic endometrium of varying thickness and not manifesting any midline echo or triple-layer appearance. Images compatible with the late follicular phase were found in 6% (9/150) of examinations ('cycle day' 8-196) and images compatible with the luteal phase in 7% (10/150) ('cycle day' 11-56). Intraovarian cystic structures (3-25 mm) were seen in 14 women after the menopause. Conclusion We have described sonographic changes in the uterus and ovaries occurring during the transition from premenopause to postmenopause. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
postmenopause, perimenopause, longitudinal study, ovaries, ultrasonography, uterus
in
Ultrasound in Obstetrics & Gynecology
volume
31
issue
2
pages
210 - 217
publisher
John Wiley & Sons
external identifiers
  • wos:000253511300017
  • scopus:54549107847
ISSN
1469-0705
DOI
10.1002/uog.5241
language
English
LU publication?
yes
id
f82b2ef7-3855-4f9a-bbb2-5a315eddedfe (old id 1193676)
date added to LUP
2008-09-09 09:30:39
date last changed
2017-04-09 04:00:49
@article{f82b2ef7-3855-4f9a-bbb2-5a315eddedfe,
  abstract     = {Objectives To describe changes in uterine and ovarian size and morphology as determined by ultrasonography from 2 years before to 2 years after menopause. Methods Twenty 50-year-old women with fairly regular vaginal bleeding at the start of the study underwent transvaginal ultrasound examination every 3 months until 12 months postmenopause, then every 6 months until 24 months postmenopause. The results are presented from 2 years before to 2 years after the menopause. Results In the 2 years preceding menopause all the women were in menopausal transition. From 2 years before to 2 years after menopause uterine anteroposterior diameter decreased by 22% (mean) and left and right ovarian volumes by 45 and 20% (median), respectively. At 2 years before the menopause the total number of intraovarian follicle-like cystic structures varied from 0 to S, at the menopause from 0 to 7, and at I and 2 years after the menopause from 0 to 4 and from 0 to 2, respectively. Premenopause, the most common finding was that of ovaries containing either no follicles or a few follicles with at least one measuring >= 11 mm and simultaneously a hyperechogenic endometrium of varying thickness and not manifesting any midline echo or triple-layer appearance. Images compatible with the late follicular phase were found in 6% (9/150) of examinations ('cycle day' 8-196) and images compatible with the luteal phase in 7% (10/150) ('cycle day' 11-56). Intraovarian cystic structures (3-25 mm) were seen in 14 women after the menopause. Conclusion We have described sonographic changes in the uterus and ovaries occurring during the transition from premenopause to postmenopause.},
  author       = {Sokalska, A and Valentin, Lil},
  issn         = {1469-0705},
  keyword      = {postmenopause,perimenopause,longitudinal study,ovaries,ultrasonography,uterus},
  language     = {eng},
  number       = {2},
  pages        = {210--217},
  publisher    = {John Wiley & Sons},
  series       = {Ultrasound in Obstetrics & Gynecology},
  title        = {Changes in ultrasound morphology of the uterus and ovaries during the menopausal transition and early postmenopause: a 4-year longitudinal study},
  url          = {http://dx.doi.org/10.1002/uog.5241},
  volume       = {31},
  year         = {2008},
}