Cited by 147Endometriosis Research and TreatmentMenstrual Health and DisordersGynecological conditions and treatments

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Characteristics of uterine contractility during menses in women with mild to moderate endometriosis

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Bulletti, Carlo, De Ziegler, Dominique, Polli, Valeria, Del Ferro, Elena, Palini, Simone, Flamigni, Carlo·2002·Fertility and Sterility

DOI 10.1016/s0015-0282(02)03087-x

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Abstract

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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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
ORCID: Bulletti, Carlo
Palini, Simone
Venue: Fertility and Sterility
Publisher: Elsevier BV
Published: 2002-06
Volume: 77
Issue: 6
Pages: 1156-1161
ISSN: 0015-0282 (ISSN-L)
DOI: 10.1016/s0015-0282(02)03087-x
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: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 7300 d)
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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Characteristics of uterine contractility during menses in women with mild to moderate endometriosis

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