Contractions of the inner third of the myometrium
Abstract
Forty-six consecutive endovaginal ultrasound examinations were screened for the presence of myometrial contractions. The study group contained pregnant women up to 10 weeks' menstrual age, nonpregnant, and postmenopausal women. Rhythmic myometrial contractions of the inner myometrial third not previously reported were seen in 35 studies in pregnant, nonpregnant, and postmenopausal women. The contractions involved the inner third of the myometrium in all but two cases. In these two cases, all three muscular layers were involved. The majority of women showed retrograde contractions, with the contraction wave moving from the cervix to the fundus. In menstruating women and one case of abortion, the contractions were antegrade. It is our speculation that these retrograde contractions of the inner myometrial third may be important in sperm transport and for the conservation of early pregnancies within the uterine cavity.
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The non-pregnant uterus is constantly active throughout the reproductive period of life and is subjected to mechanical strain.
“It became evident that the non-pregnant uterus is constantly active throughout the reproductive period of life and thereby, like other mechanically active organs of the body such as the skeletal and the cardiovascular systems, respectively, rather inevitably subjected to mechanical strain.”
From The pathophysiology of endometriosis and adenomyosis, tissue injury and repair (2009) · cites this paper as [12]
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- Authors
- de Vries, K., Lyons, E. A., Ballard, G., Levi, C. S., & Lindsay, D. J.
- Affiliations
- Health Sciences Centre (CA)
- Corresponding author
- Lyons, Edward A.
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 1990-03
- Volume
- 162
- Issue
- 3
- Pages
- 679-682
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W2073730670
- Cited by
- 243
- References
- 15
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 6 · 2023: 3 · 2022: 1 · 2021: 8 · 2020: 10 · 2019: 4 · 2018: 9 · 2017: 15 · 2016: 9 · 2015: 9 · 2014: 11 · 2013: 9 · 2012: 6
- FWCI
- 1.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Keywords
- myometrial contraction, transvaginal ultrasound, pregnancy, menstruation, postmenopausal women, sperm transport, uterine motility
- MeSH terms
- Adult, Aged, Female, Humans, Menopause, Pregnancy, Pregnancy Complications, Reference Values, Twins, Ultrasonography, Uterine Contraction
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