Subserosal adenomyosis: a possible variant of pelvic endometriosis

Article Abstract:

Endometriosis is aberrantly located (ectopic) endometrial tissue (i.e. from the lining of the uterus) that frequently forms cysts that contain altered blood. It often results in pelvic pain and infertility. It is most frequently seen in women of reproductive age. Adenomyosis is the ectopic occurrence of a noncancerous tumor of endothelial cells in muscle, particularly smooth muscle. Subserosal adenomyosis is one type of adenomyosis which is thought to be related to endometriosis. This study examined specimens from 128 cases of various types of adenomyosis affecting the uterus for tissue characteristics to see if any types were related to endometriosis. The specimens were divided into two groups, subserosal and other. Fifteen (11.7 percent) of the cases were subserosal adenomyosis. This type of adenomyosis was characterized by lesions of ectopic endometrial tissues. The average age for the patients with this type was 42.9 years and for the other types it was 45.8 years. The subserosal type was not detected in clinical examinations, nor was the uterus enlarged in cases of the disease. The abnormally located tissue characteristically consisted of glandular components surrounded by stromal tissue. These results indicate that subserosal adenomyosis is a possible variant of pelvic endometriosis. (Consumer Summary produced by Reliance Medical Information, Inc.)

Case studies, Evaluation, Tumors, Pelvic tumors

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Decrease in interferon gamma production and impairment of T-lymphocyte proliferation in peritoneal fluid of women with endometriosis

Article Abstract:

Abdominal immune system dysfunction may be responsible for some of the damage found in endometriosis. In endometriosis, blood and pieces of tissue from the inner layer of the uterus become implanted in the fallopian tubes and throughout the abdomen. Researchers measured levels of abdominal proteins involved in the immune response in women with and without endometriosis. Elevated concentrations of interleukin-1-beta, interferon-6, and tumor necrosis factor-alpha but decreased levels of interferon-gamma were found in the abdominal fluid of women with endometriosis.

Interferon gamma, Peritoneum

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The effect of peritoneal fluid from patients with endometriosis on human sperm function in vivo

Article Abstract:

Infertile women with endometriosis may have certain properties in their abdominal fluid that immobilize sperm. Endometriosis causes menstrual tissue to build up and escape into the abdominal cavity, creating adhesions. Researchers compared the effect on semen of abdominal fluid from 10 women with endometriosis and from 10 women with normal uteri using computer-assisted semen analysis. Fluid from women with endometriosis slowed the swimming speed of sperm and increased the number of slow swimmers. Slow movement of sperm has been associated with reduced fertility.

Infertility, Female, Female infertility, Spermatozoa, Sperm motility, Body fluids

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