Characterization of subendometrial myometrial contractions throughout the menstrual cycle in normal fertile women
Open accessAbstract
The objective was to study the characteristics of ultrasonographically detected subendometrial myometrial contractions. The contractions were evaluated by 328 ultrasound scans throughout the menstrual cycle. Reproducibility of these findings were studied in consecutive cycles. Eighteen healthy ovulatory volunteers with proven fertility were evaluated for at least one complete menstrual cycle in the follicular, periovulatory, and luteal phases. Multiple cycles were studied in 10 volunteers. The results showed that the contractions increase in frequency, amplitude, and percentage toward the fundus throughout the follicular and periovulatory phases. The pattern is essentially reversed in the luteal phase. There is reproducibility of these patterns from cycle to cycle. We conclude that there is a definite identifiable pattern of subendometrial myometrial contractility that varies with the phases of the normal menstrual cycle and recurs in a similar fashion from cycle to cycle.
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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 [13]
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Kunz, G., Beil, D., Huppert, P. E., & LEYENDECKER, G. (2007) · Reproductive BioMedicine Online · doi:10.1016/s1472-6483(10)60761-4 · Cited by 42 · see citing works
Elastin distribution in the myometrial and vascular smooth muscle of the human uterus
Metaxa-Mariatou, V. (2002) · Molecular Human Reproduction · doi:10.1093/molehr/8.6.559 · Cited by 40 · see citing works
Uterine Contractility Evaluated on Cine Magnetic Resonance Imaging
Togashi, K. (2007) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1389.030 · Cited by 39 · see citing works
IJland, M. M., Evers, J. L. H., Dunselman, G. A. J., & Hoogland, H. J. (1998) · Fertility and Sterility · doi:10.1016/s0015-0282(98)00132-0 · Cited by 39 · see citing works
Subendometrial contractions in the nonpregnant uterus: an ultrasound study
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- Authors
- Lyons, E. A., Taylor, P. J., Zheng, X. H., Ballard, G., Levi, C. S., & Kredentser, J. V.
- Affiliations
- Health Sciences Centre (CA)
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 1991-04
- Volume
- 55
- Issue
- 4
- Pages
- 771-774
- ISSN
- 0015-0282 (ISSN-L)
- OpenAlex
- W119618046
- Cited by
- 272
- References
- 5
- Citations by year
- 2026: 3 · 2025: 11 · 2024: 8 · 2023: 5 · 2022: 6 · 2021: 10 · 2020: 9 · 2019: 4 · 2018: 8 · 2017: 17 · 2016: 7 · 2015: 13 · 2014: 6 · 2013: 4 · 2012: 6
- FWCI
- 0.68
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Keywords
- uterine contractility, menstrual cycle phases, follicular phase, periovulatory period, luteal phase, uterine fundus, reproducibility, ovulatory women
- MeSH terms
- Adult, Female, Fertility, Humans, Menstrual Cycle, Reference Values, Ultrasonography, Uterine Contraction, Uterus
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