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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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“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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BackgroundAdenomyosis: Mechanisms and Pathogenesis
Zhai, J., Vannuccini, S., Petraglia, F., & Giudice, L. C. (2020) · Seminars in Reproductive Medicine · doi:10.1055/s-0040-1716687 · Cited by 331
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Sakkas, D., Ramalingam, M., Garrido, N., & Barratt, C. L. R. (2015) · Human Reproduction Update · doi:10.1093/humupd/dmv042 · Cited by 267
“Transport of sperm through the uterus is aided by pro-ovarian contractions of the myometrium (Lyons et al., 1991).”
BackgroundUterine contractility decreases at the time of blastocyst transfers
Fanchin, R. R. F. (2001) · Human Reproduction · doi:10.1093/humrep/16.6.1115 · Cited by 247
Uterine junctional zone, function and disease
Brosens, J. J., de Souza, N. M., & Barker, F. G. (1995) · The Lancet · doi:10.1016/s0140-6736(95)91387-4 · Cited by 215
Noe, M. (1999) · Human Reproduction · doi:10.1093/humrep/14.1.190 · Cited by 216
“Vaginal sonography of uterine peristaltic activity (Birnholz, 1984; De Vrieset al., 1990; Lyons et al., 1991; Kunzet al., 1996; Leyendeckeret al., 1996) has shown that the uterine peristaltic waves, under physiological conditions, only involve the stratum subvasculare of the myometrium, thus…”
BackgroundNg, K. Y. B., Mingels, R., Morgan, H., Macklon, N., & Cheong, Y. C. (2017) · Human Reproduction Update · doi:10.1093/humupd/dmx028 · Cited by 216
“From ultrasonographic findings, uterine contractions have been shown to increase in frequency and amplitude from the cervix to the fundus throughout the follicular and peri-ovulatory phases, but remains relatively quiescent around implantation (Lyons et al., 1991; Bulletti et al., 2000).”
BackgroundUterine adenomyosis in the infertility clinic
Devlieger, R. (2003) · Human Reproduction Update · doi:10.1093/humupd/dmg010 · Cited by 206
“…is retrograde during the non-menstrual phase (role in sperm transport and in conservation of preimplantation blastocysts in the uterus) and antegrade during the menstrual phase of the cycle (shedding of endometrium, control of menstrual ¯ow) (de Vries et al., 1990; Lyons et al., 1991).”
BackgroundEmbryo transfer--can we learn anything new from the observation of junctional zone contractions?
Lesny, P., Killick, S. R., Tetlow, R. L., Robinson, J., & Maguiness, S. D. (1998) · Human Reproduction · doi:10.1093/humrep/13.6.1540 · Cited by 206
Uterine contractility during the menstrual cycle
Bulletti, C., de Ziegler, D., POLLI, V., Diotallevi, L., Ferro, E. D., & Flamigni, C. (2000) · Human Reproduction · doi:10.1093/humrep/15.suppl_1.81 · Cited by 205
“From our results, we see an increase in UC frequency during the follicular phase followed by a decrease during the luteal phase of the menstrual cycle, which confirms previous data (Lyons et al., 1991; Bulletti et al., 1993; Ijland et al., 1996).”
BackgroundResultEndometriosis: A dysfunction and disease of the archimetra
Leyendecker, G. (1998) · Human Reproduction Update · doi:10.1093/humupd/4.5.752 · Cited by 199
Tissue Characterization in the Female Pelvis by Means of MR Imaging
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Uterine adenomyosis: a need for uniform terminology and consensus classification
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“Semi-quantitative assessment of myometrial contractility waves during the menstrual cycle by videosonography (de Vries et al., 1990; Lyons et al., 1991) has shown that the uterine peristaltic activity originates exclusively from the JZ while the outer myometrium remains quiescent throughout the cycle.”
BackgroundEndometrial wavelike movements during the menstrual cycle
IJland, M. M., Evers, J. L. H., Dunselman, G. A. J., van Katwijk, C., Lo, C. R., & Hoogland, H. J. (1996) · Fertility and Sterility · doi:10.1016/s0015-0282(16)58207-7 · Cited by 180
Kunz, G., Beil, D., Huppert, P., & Leyendecker, G. (2000) · Human Reproduction · doi:10.1093/humrep/15.1.76 · Cited by 177
“…myometrial layer that is, with its cyclically changing peristaltic contractions, active during the menstrual normal endometrial cells and tissue elements by retrograde menstruations as well as the theory of coelomic metaplasia,cycle (Lyons et al., 1991; Kunz et al., 1996; Lesny et al., 1998a,b).”
BackgroundRaine‐Fenning, N. (2004) · Human Reproduction · doi:10.1093/humrep/deh056 · Cited by 179
“, 1993) that has been attributed to a physical vascular obstruction induced by a transient increase in myometrial basal tone and uterine contractility (Lyons et al., 1991; de Ziegler et al., 2001).”
BackgroundUterine peristaltic activity and the development of endometriosis
LEYENDECKER, G., KUNZ, G., HERBERTZ, M., BEIL, D., HUPPERT, P., MALL, G., KISSLER, S., NOE, M., & WILDT, L. (2004) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1335.036 · Cited by 162
Uterine contractility and embryo implantation
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The Pathogenesis of Adenomyosis vis-à-vis Endometriosis
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“In particular, the JZ is involved in the modulation of uterine contractions throughout the menstrual cycle, ostensibly serving the purpose of sperm transport during ovulation and antegrade menstruation during the follicular and menstrual phases [35,36].”
BackgroundInfluence of embryo transfer depth on in vitro fertilization and embryo transfer outcomes
Pope, C. S., Cook, E., Arny, M., Novak, A., & Grow, D. R. (2004) · Fertility and Sterility · doi:10.1016/j.fertnstert.2003.05.030 · Cited by 152
Myometrial zonal differentiation and uterine junctional zone hyperplasia in the non-pregnant uterus
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“Vaginal video-sonography is a new imaging technique which allows semiquantitative assessment of myometrial contractility waves (de Vries et al., 1990; Lyons et al., 1991; Kunz et al., 1996).”
BackgroundCharacteristics of uterine contractility during menses in women with mild to moderate endometriosis
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Moench, T. R., Chipato, T., & PADIAN, N. S. (2001) · AIDS · doi:10.1097/00002030-200109070-00001 · Cited by 147
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“In general, they provide active sperm transport, guide the embryo to its implantation site, and decrease after ovulation to support implantation (Bulletti et al., 2000; Ijland et al., 1996b; Lyons et al., 1991).”
BackgroundSuárez, S. S. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-397175-3.00005-3 · Cited by 131
Understanding the Impact of Uterine Fibroids on Human Endometrium Function
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Endometrial wave-like activity in the non-pregnant uterus
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“Cervix-to-fundus waves seem to attain their highest velocity in the peri-ovulatory phase, underlining their putative role in rapid sperm transport, and these ®ndings corroborate the results of other studies (Abramowics and Archer, 1990; Lyons et al., 1991).”
BackgroundMethodResultInfluentialEndometrial-Myometrial Interface: Relationship to Adenomyosis and Changes in Pregnancy
Uduwela, A. S., Perera, M. A. K., Li, A., & Fraser, I. S. (2000) · Obstetrical & Gynecological Survey · doi:10.1097/00006254-200006000-00025 · Cited by 126
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Relation between endometrial wavelike activity and fecundability in spontaneous cycles
IJland, M. M., Evers, J. L. H., Dunselman, G. A. J., Volovics, L., & Hoogland, H. J. (1997) · Fertility and Sterility · doi:10.1016/s0015-0282(97)80075-1 · Cited by 123
Fanchin, R. R. F., Righini, C., de Ziegler, D., Olivennes, F. J., Lédée, N., & Frydman, R. (2001) · Fertility and Sterility · doi:10.1016/s0015-0282(01)01787-3 · Cited by 120
Post-Caesarean section niche-related impaired fertility: hypothetical mechanisms
Vissers, J., Hehenkamp, W. J. K., Lambalk, C. B., & Huirne, J. A. F. (2020) · Human Reproduction · doi:10.1093/humrep/deaa094 · Cited by 118
The endometrial–myometrial junction: a fresh look at a busy crossing
Naftalin, J., & Jurkovic, D. (2009) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.6432 · Cited by 117
The uterine peristaltic pump. Normal and impeded sperm transport within the female genital tract.
Kunz, G., Beil, D., Deiniger, H., Einspanier, A., Mall, G., & LEYENDECKER, G. (1997) · PubMed · Cited by 115
Ota, H., Igarashi, S., Hatazawa, J., & Tanaka, T. (1998) · Fertility and Sterility · doi:10.1016/s0015-0282(97)00478-0 · Cited by 115
Kunz, G., Beil, D., Deiniger, Н., Einspanier, A., Mall, G., & LEYENDECKER, G. (1997) · Advances in experimental medicine and biology · doi:10.1007/978-1-4615-5913-9_49 · Cited by 112
Uterine contractility and embryo implantation
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Uterine Fibroids and Infertility
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“The direction of peristalsis is also reversed in the luteal phase [39].”
BackgroundUterine junctional zone contractions during assisted reproduction cycles. VIDEO
Lesny, P. (1998) · Human Reproduction Update · doi:10.1093/humupd/4.4.440 · Cited by 107
Fusi, L., Cloke, B., & Brosens, J. J. (2006) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2006.02.001 · Cited by 107
Endometrial and subendometrial perfusion are impaired in women with unexplained subfertility
Raine‐Fenning, N., Campbell, B. K., Kendall, N. R., Clewes, J. S., & Johnson, I. R. (2004) · Human Reproduction · doi:10.1093/humrep/deh459 · Cited by 107
“Another possible explanation relates to the well-defined transient increase in myometrial basal tone and uterine contractility seen during the periovulatory period (Lyons et al., 1991; de Ziegler et al., 2001).”
BackgroundFunctional MR imaging of the female pelvis
Koyama, T., & Togashi, K. (2007) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.20913 · Cited by 104
“Since the early 1990s, transvaginal ultrasonography (TVUS) has been the modality of choice for monitoring contractile activity in the uterus (1,2).”
BackgroundUterine dynamics: impact on the human reproduction process
Fanchin, R. R. F., & Ayoubi, J. M. (2009) · Reproductive BioMedicine Online · doi:10.1016/s1472-6483(10)60450-6 · Cited by 100
“The development of high-resolution vaginal ultrasound probes has enabled the visualization of myometrial contractile activity that can be recorded and studied in real time (Oike et al., 1988; Abramowicz and Archer, 1990; Lyons et al., 1991).”
BackgroundContractility of the Nonpregnant Uterus
de Ziegler, D., Bulletti, C., Fanchin, R. R. F., Epiney, M., & Brioschi, P. A. (2001) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2001.tb03801.x · Cited by 98
Leyendecker, G., Kunz, G., Kissler, S., & Wildt, L. (2006) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2006.01.008 · Cited by 94
Hormonal influence on the uterine contractility during ovarian stimulation
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“…progesterone (Bickers, 1941; Henry and Browne, 1943; Henry et al, 1950; Garrett, 1956; Cibils, 1967; Eskes et al, 1970; Abramowicz and Archer, 1990; Lyons et al, 1991), it was reasonable to anticipate a significant reduction in the uterine contractile activity from the day of HCG to embryo…”
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The ultrastructure of fibromyomatous myometrium and its relationship to infertility
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Uterine peristalsis shown on cine MR imaging using ultrafast sequence
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“Although the present study was performed using 17 times the regular speed to allow greater enhancement of slow movements, peristalsis was observed to occur at a rate of 1–3 waves/minute, a frequency similar to the rate reported in ultrasound literature (4).”
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Cine MR imaging of uterine peristalsis in patients with endometriosis
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“related to uterine function, including infertility [5].”
BackgroundOrisaka, M., Kurokawa, T., Shukunami, K., Orisaka, S., Fukuda, M., Shinagawa, A., Fukuda, S., Ihara, N., Yamada, H., Itoh, H., et al. (2007) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2006.07.040 · Cited by 75
“040 Ultrasonographic recording has shown that peristaltic patterns in the non-pregnant uterus play a role in the reproductive process [7–9].”
BackgroundUterine contractions evaluated on cine MR imaging in patients with uterine leiomyomas
Nishino, M., Togashi, K., Nakai, A., Hayakawa, K., Kanao, S., Iwasaku, K., & Fujii, S. (2004) · European Journal of Radiology · doi:10.1016/j.ejrad.2004.01.009 · Cited by 74
“The dysfunction of peristaltic movement has been postulated as the cause of a variety of gynecological and obstetrical problems including endometriosis, infertility, and pregnancy wastage [10,12,15].”
BackgroundMethodResultInfluentialMechsner, S., Grum, B., Gericke, C., Loddenkemper, C., Dudenhausen, J. W., & Ebert, A. D. (2010) · Fertility and Sterility · doi:10.1016/j.fertnstert.2010.03.015 · Cited by 72
“The OT-OTR system may, therefore, be involved in the process of contractility regulation of the nonpregnant uterus in humans (13, 26, 28, 29, 32), marmoset monkeys (31), and mice (33).”
BackgroundPathogenesis of Human Adenomyosis: Current Understanding and Its Association with Infertility
Khan, K. N., Fujishita, A., & Mori, T. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11144057 · Cited by 77
“While retrograde contractions of IM (cervix to fundus) during the follicular phase can facilitate sperm transport and promote pregnancy [57], antegrade IM contractions (fundus to cervix) and increased amplitude of peristalsis during menstrual period can promote desquamation of shed endometrium [58,59].”
BackgroundWhat do we know about what happens to myometrial function as women age?
Arrowsmith, S., Robinson, H., Noble, K., & Wray, S. (2012) · Journal of Muscle Research and Cell Motility · doi:10.1007/s10974-012-9300-2 · Cited by 71
“menstrual blood, (Lyons et al. 1991) whilst cervico-fundal contractions aid in sperm transport or possibly in retention of iron for example, following blood losses at menstruation (Kunz and Leyendecker 2002).”
BackgroundInfluentialKunz, G. (1998) · Human Reproduction Update · doi:10.1093/humupd/4.5.667 · Cited by 69
“Uterine peristaltic activity is confined to the stratum subvasculare (Birnholz, 1984; De Vries et al., 1990; Lyons et al., 1991; Kunz et al., 1996), which is the innermost layer of the muscular uterine wall (Wetzstein, 1965) and composed of muscular fibres with a predominantly circular arrangement…”
BackgroundInfluentialMagnetically Bioprinted Human Myometrial 3D Cell Rings as A Model for Uterine Contractility
Souza, G. R., Tseng, H., Gage, J. A., Mani, A., Desai, P. K., Leonard, F., Liao, A., Longo, M., Refuerzo, J., & Godin, B. (2017) · International Journal of Molecular Sciences · doi:10.3390/ijms18040683 · Cited by 69
“Uterine contractions are very important for multiple reproductive functions, such as the menstrual cycle, the transport of sperms and embryo, pregnancy, and parturition [4,5].”
BackgroundVaginosonography for recording of cycle-related myometrial contractions
Chalubinski, K., Deutinger, J., & Bernaschek, G. (1993) · Fertility and Sterility · doi:10.1016/s0015-0282(16)55644-1 · Cited by 67
Relationship between adenomyosis and endometriosis; Different phenotypes of a single disease?
Maruyama, S., Imanaka, S., Nagayasu, M., Kimura, M., & Kobayashi, H. (2020) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2020.08.019 · Cited by 67
“anterograde (fundus to cervix) for discharge of menstrual blood [17,20].”
BackgroundAtosiban improves implantation and pregnancy rates in patients with repeated implantation failure
Vuong, L. N., Khang, V. N., Nhu, G. H., & Ho, T. M. (2012) · Reproductive BioMedicine Online · doi:10.1016/j.rbmo.2012.05.014 · Cited by 67
“Increased frequency of uterine contraction during ovarian stimulation cycles compared with the corresponding phase of natural menstrual cycles has been documented in a number of studies (Abramowicz and Archer, 1990; Fanchin et al., 2000; Lyons et al., 1991).”
BackgroundPurohit, P., & Vigneswaran, K. (2016) · Current Obstetrics and Gynecology Reports · doi:10.1007/s13669-016-0162-2 · Cited by 67
Moon, H. S., Park, S. H., Lee, J. O., Kim, K. S., & Joo, B. S. (2004) · Fertility and Sterility · doi:10.1016/j.fertnstert.2004.02.140 · Cited by 65
Influence of controlled ovarian hyperstimulation on uterine peristalsis in infertile women
Zhu, L., Li, Y., & Xu, A. (2012) · Human Reproduction · doi:10.1093/humrep/des257 · Cited by 64
“It originates in the subendothelial myometrial tissues and occurs with periodic changes during the natural menstrual cycle (Lyons et al., 1991; Chalubinski et al., 1993; Ijland et al., 1996; Bulletti et al., 2000).”
BackgroundDynamics of the Intrauterine Fluid–Wall Interface
Eytan, O., Jaffa, A. J., Har-Toov, J., Dalach, E., & Elad, D. (1999) · Annals of Biomedical Engineering · doi:10.1114/1.181 · Cited by 64
REVIEW: The junctional zone of the uterus and its contractions
Lesny, P., & Killick, S. R. (2004) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2004.00350.x · Cited by 62
Mueller, A., Siemer, J., Schreiner, S., Koesztner, H., Hoffmann, I., Binder, H., Beckmann, M. W., & Dittrich, R. (2006) · Human Reproduction · doi:10.1093/humrep/del056 · Cited by 62
“Particularly during menstruation, peristalsis appears to be directed towards the cervix (Lyons et al., 1991; Fukuda and Fukuda, 1994).”
BackgroundAnatomy and physiology of the female pelvis: MR imaging revisited
Togashi, K., Nakai, A., & Sugimura, K. (2001) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.1120 · Cited by 62
“One involves the entire myometrium, and the other is uterine peristalsis, described above (11,12).”
BackgroundAssessing Uterine Receptivity in 2001
Fanchin, R. R. F. (2001) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2001.tb03802.x · Cited by 60
Infertility in patients with uterine fibroids: a debate about the hypothetical mechanisms
Don, E. E., Mijatovic, V., & Huirne, J. A. F. (2023) · Human Reproduction · doi:10.1093/humrep/dead194 · Cited by 60
“Additionally, the contraction amplitude is of influence, as it has been suggested that frequent contractions of low amplitude can favour implantation (Lyons et al. , 1991).”
BackgroundFanchin, R. R. F., Righini, C., Schonäuer, L. M., Olivennes, F. J., Cunha‐Filho, J. S., & Frydman, R. (2001) · Fertility and Sterility · doi:10.1016/s0015-0282(01)02841-2 · Cited by 59
“In addition, possible overstimulation of uterine contractility by the high peripheral and local E2 levels (12, 14) induced by vaginal E2 administration, as well as the effectiveness of subsequent uterine relaxation mediated by P, remain to be investigated.”
BackgroundDysmenorrhea: Evaluation with Cine-Mode-Display MR Imaging—Initial Experience
Kataoka, M., Togashi, K., Kido, A., Nakai, A., Fujiwara, T., Koyama, T., & Fujii, S. (2005) · Radiology · doi:10.1148/radiol.2351031283 · Cited by 59
Predicting fertility from sperm motility landscapes
Fernández-López, P., Garriga, J., Casas, I., Yeste, M., & Bartumeus, F. (2022) · Communications Biology · doi:10.1038/s42003-022-03954-0 · Cited by 57
Comparison of Uterine Peristalsis Before and After Uterine Artery Embolization at 3-T MRI
Kido, A., Ascher, S. M., Kishimoto, K., Hahn, W. Y., Jha, R. C., Togashi, K., & Spies, J. B. (2011) · American Journal of Roentgenology · doi:10.2214/ajr.10.5349 · Cited by 50
“This is in accordance with previously published reports [8, 9, 15].”
BackgroundMethodResult3 T MRI uterine peristalsis: Comparison of symptomatic fibroid patients versus controls
Kido, A., Ascher, S. M., Hahn, W. Y., Kishimoto, K., Kashitani, N., Jha, R. C., Togashi, K., & Spies, J. B. (2014) · Clinical Radiology · doi:10.1016/j.crad.2013.12.002 · Cited by 49
Kissler, S., Siebzehnruebl, E., Kohl, J., Müeller, A., Hamscho, N., Gaetje, R., Ahr, A., Rody, A., & Kaufmann, M. (2004) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/j.0001-6349.2004.00412.x · Cited by 49
“frequency are directed towards the cervix, while during the other phases of the cycle, with the highest frequency and intensity during the periovulatory phase, cervico-fundal peristalsis prevails (3,5).”
BackgroundEndometriosis and Free Radicals
Ota, H., Igarashi, S., Hatazawa, J., & Tanaka, T. (1999) · Gynecologic and Obstetric Investigation · doi:10.1159/000052866 · Cited by 48
Kinematics of the Uterus: Cine Mode MR Imaging
Fujiwara, T., Togashi, K., Yamaoka, T., Nakai, A., Kido, A., Nishio, S., Yamamoto, T., Kitagaki, H., & Fujii, S. (2004) · Radiographics · doi:10.1148/rg.e19 · Cited by 48
Velocity of endometrial wavelike activity in spontaneous cycles
IJland, M. M., Evers, J. L. H., & Hoogland, H. J. (1997) · Fertility and Sterility · doi:10.1016/s0015-0282(97)81478-1 · Cited by 47
How to Understand the Complexity of Endometriosis-Related Pain
Chiàntera, V., Abesadze, E., & Mechsner, S. (2017) · Journal of Endometriosis and Pelvic Pain Disorders · doi:10.5301/je.5000271 · Cited by 49
Masui, T., Katayama, M., Kobayashi, S., Nakayama, S., Nozaki, A., Kabasawa, H., Ito, T., & Sakahara, H. (2001) · Radiology · doi:10.1148/radiol.2211001390 · Cited by 47
Mueller, A., Maltaris, T., Siemer, J., Binder, H., Hoffmann, I., Beckmann, M. W., & Dittrich, R. (2006) · Human Reproduction · doi:10.1093/humrep/del118 · Cited by 46
“However, during menstruation, contraction waves appear to be directed towards the cervix (Lyons et al., 1991; Fukuda and Fukuda, 1994).”
BackgroundSexual Arousal—Its Physiological Roles in Human Reproduction
Levin, R. J. (2005) · Annual Review of Sex Research · doi:10.1080/10532528.2005.10559832 · Cited by 46
Nakai, A., Togashi, K., Kosaka, K., Kido, A., Hiraga, A., Fujiwara, T., Koyama, T., & Fujii, S. (2004) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.20140 · Cited by 45
“The periovulatory phase was selected because peristalsis is known to be most distinct during this period (3).”
BackgroundOral contraceptives and uterine peristalsis: Evaluation with MRI
Kido, A., Togashi, K., Nakai, A., Kataoka, M. L., Koyama, T., & Fujii, S. (2005) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.20384 · Cited by 44
“Researchers have attempted to evaluate the characteristics of such contractions and functions, speculating that these contractions may have an important role in sperm transport, discharge of menstrual blood, and conservation of the gestational sac during the early stages of pregnancy (9,10,17).”
BackgroundHoad, C. L., Raine‐Fenning, N., Fulford, J., Campbell, B. K., Johnson, I. R., & Gowland, P. A. (2005) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2004.07.032 · Cited by 43
Oxytocin – a stimulator of directed sperm transport in humans
Kunz, G., Beil, D., Huppert, P. E., & LEYENDECKER, G. (2007) · Reproductive BioMedicine Online · doi:10.1016/s1472-6483(10)60761-4 · Cited by 42
“…during the follicular phase in healthy women and in women suffering from endometriosis and sterility (Itturalde and Venter, 1981; Birnholz, 1984; Lyons et al., 1991; Kunz et al., 1996, 1998b; Leyendecker et al., 1996; Fanchin et al., 1998, 2001; Wildt et al., 1998, Bulletti et al., 2000, de…”
BackgroundElastin 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
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
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
Subendometrial contractions in the nonpregnant uterus: an ultrasound study
IJland, M. M., Evers, J. L. H., Dunselman, G. A. J., & Hoogland, H. J. (1996) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/s0301-2115(96)02571-7 · Cited by 39
Metadata
- 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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