Author: Kunz G.
Publisher: Oxford University Press
ISSN: 1460-2350
Source: Human Reproduction, Vol.20, Iss.8, 2005-08, pp. : 2309-2316
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Abstract
BACKGROUND: The hypothesis is tested that there is a strong association between endometriosis and adenomyosis and that adenomyosis plays a role in causing infertility in women with endometriosis. METHODS. Magnetic resonance imaging of the uteri was performed in 160 women with and 67 women without endometriosis. The findings were correlated with the stage of the disease, the age of the women and the sperm count parameters of the respective partners. RESULTS: The posterior junctional zone (PJZ) was significantly thicker in women with endometriosis than in those without the disease (P<0.001). there="" was="" a="" positive="" correlation="" of="" the="" diameter="" of="" the="" pjz="" with="" the="" stage="" of="" the="" disease="" and="" the="" age="" of="" the="" patients.="" the="" pjz="" was="" thicker="" in="" patients="" with="" endometriosis="" with="" fertile="" than="" in="" patients="" with="" subfertile="" partners.="" the="" prevalence="" of="" adenomyotic="" lesions="" in="" all="" 160="" women="" with="" endometriosis="" was="" 79%.="" in="" women="" with="" endometriosis="" below="" an="" age="" of="" 36="" years="" and="" fertile="" partners,="" the="" prevalence="" of="" adenomyosis="" was="" 90%="">P<0.01) conclusions:="" with="" a="" prevalence="" of="" up="" to="" 90%,="" uterine="" adenomyosis="" is="" significantly="" associated="" with="" pelvic="" endometriosis="" and="" constitutes="" an="" important="" factor="" of="" sterility="" in="" endometriosis="" presumably="" by="" impairing="" uterine="" sperm="" transport.="">
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