ArticleJournal of ovarian research2014
Impaired uterine artery flow associated with the presence of ovarian endometrioma: preliminary results of a prospective study.
Article in Journal of ovarian research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 93 citations in OpenAlex.
- Lateral distribution of endometriotic lesions: the anatomical recesses hypothesis. A systematic review and meta-analysis.Human reproduction open · 2026Review
- Uterine artery S/D ratio and serum CA125 as predictors of early pregnancy loss in women with ovarian endometriomas: a retrospective case-control study.BMC pregnancy and childbirth · 2025Article
- Comparative Ultrasonographic Evaluation of Morphology and Vascularization in Endometriomas and Ovarian Mature Cystic Teratomas.Journal of clinical medicine · 2025Article
- Effects of Breastfeeding on Endometriosis-Related Pain: A Prospective Observational Study.International journal of environmental research and public health · 2021Observational
- Endometriosis and Pregnancy: A Single Institution Experience.International journal of environmental research and public health · 2020Observational
- Effect of Endometrioma cystectomy on cytokines of follicular fluid and IVF outcomes.Journal of ovarian research · 2019Article
- High-fat-diet impaired mitochondrial function of cumulus cells but improved the efficiency of parthenogenetic embryonic quality in mice.Animal cells and systems · 2018Article
- Effect of ovarian endometrioma on uterine and ovarian blood flow in infertile women.International journal of women's health · 2016Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAim of this prospective, case-control study was to evaluate uterine arteries' blood flow before and after laparoscopic surgery in patients with ovarian endometriosis and its possible correlation with infertility.
methodsWe prospectively enrolled 110 women of reproductive age; 69 with ovarian endometriomas and scheduled for surgery, and 41 controls. At enrolment, a detailed medical, gynecologic and obstetric history was collected. Fertility and pregnancy desire were assessed. All patients underwent complete physical and gynecologic examination. Transvaginal ultrasound with Doppler color flow was performed to evaluate Resistance Index (RI) of uterine arteries during the secretory phase, at enrolment (T0) and 3 months after laparoscopic surgery (T1).
resultsAmong cases, 27 patients were excluded because they did not meet the inclusion criteria. At enrolment (T0) unilateral or bilateral flow alterations (RI ≥ 0.8) were found in 38 out of 42 patients with ovarian endometriosis (90%), whereas in the control group only 17 women (41%) had Doppler alterations. The difference in uterine artery RI values between cases and controls was statistically significant (P < 0.0001). A statistically significant improvement in uterine artery flow (P <0.0001) was found 3 months after surgical treatment of endometriosis. Nineteen patients with endometriosis (45%) were infertile before surgery; all of them presented uterine artery Doppler alterations at T0. After surgery the pregnancy rate was significantly higher in patients who presented uterine artery flow normalization than in those with persistent uterine artery flow alterations (p = 0.002).
conclusionsA strong correlation was found between uterine artery flow abnormalities and ovarian endometriosis. Uterine artery flow improvement following surgery seems to increase the probabilities of achieving pregnancy.
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