Uterine Fibroid Mapping

Al-Gudah, Mohammed; Chodankar, Rohan; Abdelazim, Ibrahim A.; Faza, Mohannad Abu

doi:10.1007/s13669-016-0154-2

Cited by 6 publications

(5 citation statements)

References 65 publications

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“…Its low cost and accessibility often make it primary choice as a diagnostic modality. TV US is considered more sensitive than TA US for detection of small fibroids, for submucous fibroids and in obese patients ( 46 , 47 ). The reproducibility, sensitivity, and specificity of US lacks consistency between different studies.…”

Section: The Two Figo Aub Systemsmentioning

confidence: 99%

“…The reproducibility, sensitivity, and specificity of US lacks consistency between different studies. Sensitivity and specificity ranged from 24–96 to 29–93%, respectively, in published literature ( 47 ). A recent meta-analyses observed that saline infusion sonography (SIS) has a pooled sensitivity in the detection of all intrauterine abnormalities (polyps, sub-mucous fibroids, adhesions) of 0.88 [95% confidence interval (CI): 0.85–0.90] and a pooled specificity of 0.94 (95% CI 0.93–0.96) and is comparable to hysteroscopy in this context ( 48 ).…”

Section: The Two Figo Aub Systemsmentioning

confidence: 99%

“…A recent meta-analyses observed that saline infusion sonography (SIS) has a pooled sensitivity in the detection of all intrauterine abnormalities (polyps, sub-mucous fibroids, adhesions) of 0.88 [95% confidence interval (CI): 0.85–0.90] and a pooled specificity of 0.94 (95% CI 0.93–0.96) and is comparable to hysteroscopy in this context ( 48 ). The sensitivity and specificity of SIS have been reported to be as high as 85–91 and 83–100%, respectively ( 47 ). The current NICE guidance recommends hysteroscopy as a first line investigation for AUB in women with suspected submucous fibroids vs. a TV US and thereby remains a gold standard in the diagnosis of suspected intrauterine pathology or where an endometrial biopsy is indicated ( 22 ).…”

Section: The Two Figo Aub Systemsmentioning

confidence: 99%

“…US, SIS and hysteroscopy and can identify unusual fibroids e.g., parasitic fibroids, and the extent of fibroid degeneration. Despite these advantages, the routine use is precluded by cost and accessibility ( 47 ).…”

Section: The Two Figo Aub Systemsmentioning

confidence: 99%

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Historical Perspectives and Evolution of Menstrual Terminology

Chodankar

Munro

Critchley

2022

Front. Reprod. Health

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Abnormal uterine bleeding (AUB) in the reproductive years in non-pregnant women comprises a group of symptoms that include abnormal frequency and the irregular onset of flow as well as prolonged and heavy menstrual bleeding. It is a common, chronic, and debilitating condition affecting women worldwide with an adverse impact on their quality of life. Until the last decade, the “menstrual” terminology used to describe both normal and abnormal uterine bleeding and its underlying causes was inconsistent, creating considerable confusion. Using standardized terminology may potentially improve clinical management as well as help designing and interpreting basic, translational, epidemiological, and clinical research in women with menstrual problems. In this article, we explore the history and evolution of menstrual terminology and discuss the two International Federation of Gynecology and Obstetrics (FIGO) systems on i.e., (A) menstrual terminology and definitions (B) and the causes of AUB, achieved through international consensus of relevant stakeholders through a long multistage journey.

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Section: The Two Figo Aub Systemsmentioning

confidence: 99%

Section: The Two Figo Aub Systemsmentioning

confidence: 99%

Section: The Two Figo Aub Systemsmentioning

confidence: 99%

Section: The Two Figo Aub Systemsmentioning

confidence: 99%

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Historical Perspectives and Evolution of Menstrual Terminology

Chodankar

Munro

Critchley

2022

Front. Reprod. Health

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“…These thick-walled blood vessels can play an important role in maintaining excessive bleeding. We examined 30 endometrial curettes to detect the presence of thick-walled blood vessels; individually or in groups (4,5,6).…”

Section: Introductionmentioning

confidence: 99%

A Pilot Study on Thickened Blood Vessels in Endometrial Curettage in Dysfunctional Uterine Bleeding

Javed

Ayesha²,

Badar

2024

Ann Gulf Med

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Background: Dysfunctional uterine bleeding (DUB) is a common disease. About 10% of patients registered with DUB in Gynecology OPD for treatment in developing countries. There has been a change in the rhythmic cyclic menstruation that causes excessive and irregular bleeding. Lack of ovulation or oligo-ovulation leads to permanent estrogenic effects without opposing the progesterone effects. Other causes of the estrogen domain may have similar effects. The relative estrogen domain causes several changes in the uterine vascular system that causes menstrual bleeding. Objective: To determine the frequency and significance of thickened blood vessels in curettage of the endometrium in dysfunctional uterine bleeding. Materials and methods: It was a Retrospective cross-sectional pilot study conducted at Department of Gynecology and Obstetrics, Jinnah Hospital Lahore for one-year duration from January 2017 to December 2017.Hematoxylin and eosin (H&E) stained sections 30 consecutive incident cases of endometrial curettage due to dysfunctional uterine bleeding were examined by an optical microscope, with particular regard to the number of thickened blood vessels. All patients with history of endometrial curettage with dysfunctional uterine bleeding were included while curettage of uterine mucosa in patients with a specific etiology, such as endometritis, atypical hypertrophy, retained products, intrauterine devices (intrauterine device) were excluded. Results: Over 50% of patients were perimenopausal, i.e. 40-55 years of age. All endometrial procedures included thickened blood vessels. On average, there were about 8 blood vessels thickened by curettage of the endometrium. Conclusion: Estrogen-induced vascular lesions result in greater permeability, which can lead to the accumulation of various plasma proteins with increased intramural vascular thickening. These thickened veins may not contract properly, causing excessive bleeding and prolongation.

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