Characteristics of uterine contractility during menses in women with mild to moderate endometriosis
Open accessAbstract
Objective To establish the role of uterine contractions in retrograde menstruation with subsequent abdominal implantation of endometrial tissue.Design Controlled prospective study.Setting University hospital-based study.Patient(s) Infertile women with (n = 22) and without (n = 22) endometriosis.Main outcome measure(s) Frequency, amplitude, and basal pressure tone of uterine contractions; correlation of contractions with retrograde bleeding and presence of viable endometrial cells; and dysmenorrhea before and 3 and 24 months after surgery.Result(s) Compared with controls, patients with endometriosis had uterine contractions with higher frequency (22.73 +/- 5.66 osc/10 min vs. 11.09 +/- 3.26 osc/10 min), amplitude (20.83 +/- 3.94 mm Hg vs. 6.77 +/- 2.83 mm Hg), and basal pressure tone (50.14 +/- 16.30 mm Hg vs. 24.68 +/- 6.14 mm Hg). Dysmenorrhea was scored as 4.09 +/- 1.44 in patients with endometriosis and 0.86 +/- 1.42 in controls. Retrograde bleeding was found in 73% of patients with endometriosis vs. 9% of controls, and only 45% of patients with endometriosis had viable endometrial cells in the cul-de-sac.Conclusion(s) Endometriosis may result from abnormal myometrial contractility through tubal transportation, dissemination, and implantation of endometrial viable cells into the abdomen.
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Uterine function of rapid and directed sperm transport into the dominant tube is dysfunctional in women with endometriosis and is characterized by hyper- and dysperistalsis.
“The uterine function of rapid and directed sperm transport into the ‘dominant tube’ is dysfunctional in women with endometriosis and is characterized by hyper- and dysperistalsis [27–32].”
From The pathophysiology of endometriosis and adenomyosis, tissue injury and repair (2009) · cites this paper as [30]
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- Authors
- Bulletti, C., De Ziegler, D., Polli, V., Del Ferro, E., Palini, S., & Flamigni, C.
- Affiliations
- Ospedale Infermi di Rimini (IT)
- University of Bologna (IT)
- Corresponding author
- Bulletti, Carlo
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 2002-06
- Volume
- 77
- Issue
- 6
- Pages
- 1156-1161
- ISSN
- 0015-0282 (ISSN-L)
- OpenAlex
- W2133378494
- Cited by
- 147
- References
- 41
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 7 · 2023: 8 · 2022: 5 · 2021: 4 · 2020: 4 · 2019: 6 · 2018: 8 · 2017: 4 · 2016: 4 · 2015: 4 · 2014: 4 · 2013: 7 · 2012: 4
- FWCI
- 7.79
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Keywords
- endometriosis, uterine contractility, retrograde menstruation, dysmenorrhea, infertility, endometrial implantation, endometriosis pathogenesis
- MeSH terms
- Adult, Dysmenorrhea, Endometriosis, Endometrium, Female, Humans, Menstruation, Severity of Illness Index, Uterine Contraction, Uterine Hemorrhage, Incidence
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