Accuracy of ultrasound measurements of female pelvic organs

Article Abstract:

Size changes and disease-related alterations of the uterus and ovary cannot be precisely determined by vaginal examination. Ultrasound imaging may be able to overcome these drawbacks, and has the potential as well to detect changes in thickness of the endometrium (lining of the uterus) and to detect polycystic ovaries. In order to determine the accuracy of ultrasound imaging in measurements and detection of these parameters, 38 women who were to have surgery were examined by ultrasound scanning and then measured during the surgical procedure. Uterine size, endometrial thickness, and right ovarian size were measured accurately by ultrasound. However, larger left ovaries were rated larger by ultrasound than by regular measurement. Ultrasound imaging agreed completely with surgical and microscopic findings for polycystic ovaries, and gave no false positive or false negative findings. The study indicates that ultrasound scans are a useful adjunct to vaginal examination for determination of pelvic organ size, but further study of ovarian imaging is needed before the technique is completely acceptable. (Consumer Summary produced by Reliance Medical Information, Inc.)

Evaluation, Measurement, Reproductive organs, Female, Female genitalia, Diagnosis, Ultrasonic, Diagnostic ultrasonography

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Bilateral oophorectomy and hysterectomy in the treatment of intractable pelvic pain associated with pelvic congestion

Article Abstract:

To learn whether removal of the ovaries (bilateral oophorectomy) and uterus (hysterectomy) is an effective treatment for chronic pelvic pain, a study was undertaken of 36 women (average age, 35), 33 of whom had attempted therapy with medroxyprogesterone acetate (MPA). Pain assessments were obtained before and after surgery, and the frequency of sexual intercourse and of postcoital ache were also determined. The median pain score declined from 10, before surgery, to zero, one year afterwards. The frequency of intercourse increased from a median of once monthly to eight times monthly. Remaining pain that interfered with daily life was reported by only 1 of the 12 women who still had some pain. The subjects began hormone replacement therapy following their surgery. Bilateral oophorectomy plus hysterectomy in women of reproductive age should only be carried out as a last resort. The extent to which life will be disrupted is the main consideration when the decision to recommend such surgery is made. The role of pelvic congestion (insufficient venous drainage) in pelvic pain is discussed. (Consumer Summary produced by Reliance Medical Information, Inc.)

Health aspects, Care and treatment, Surgery, Hysterectomy, Pelvic pain, Ovariectomy

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