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

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. ('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. Methods ConclusionWe have described sonographic changes in the uterus and ovaries occurring during the transition from premenopause to postmenopause.

Management of Asymptomatic Ovarian and Other Adnexal Cysts Imaged at US: Society of Radiologists in Ultrasound Consensus Conference Statement

“…At US the normal postmenopausal ovary typically appears small and homogeneous in echotexture. Small simple cysts become less frequently observed as a patient progresses through the menopause transition ( 50 ). Some of these cysts appreciated in early menopause may refl ect an ovulatory event, and others may be paraovarian or tubal in origin.…”

Management of Asymptomatic Ovarian and Other Adnexal Cysts Imaged at US

“…At US the follicles appear as multiple, thin and smooth walled, round or oval, anechoic spaces with no flow by means of color Doppler US (ie, appearing as simple cysts). 50 Some of these cysts appreciated in early menopause may reflect an ovulatory event, and others may be paraovarian or tubal in origin. 45,46 For simplicity, the panel felt that follicles or simple cysts up to 3 cm in maximal diameter should be considered normal physiologic findings.…”

Pain experience during saline‐contrast sonohysterography differs between premenopausal and postmenopausal women

“…We believe that the reason postmenopausal women are more likely to experience pain during and after SCSH could be the result of changes in the size and morphologic characteristics of the uterus after menopause. In one previous study, Sokalska and Valentin found that the decrease in uterine size was statistically significant after menopause. Possibly because of this decrease in uterine size, we had to use less saline solution in the postmenopausal women in our study.…”