Transvaginal ultrasonography assessment of ovarian volumes in postmenopausal women
Keywords:
Ovary, Ultrasonography, MenopauseAbstract
The authors evaluated ovarian volumes by transvaginal ultrasonography at different periods after menopause. Ninety-eight postmenopausal women with an average age of 51.9 years and a one- to eight-year postmenopausal period were studied. The control group consisted of 40 women during menacme with an average age of 31.8 years, who were also submitted to transvaginal ultrasonography to evaluate ovarian volume.There was no significant difference between right and left ovarian volumes in the study groups.There was a significant decrease in measure and standard deviations of the volumes after the first year of menopause (mean volume - 2.2 ± 0.9 cm³) when compared to the control group (mean volume - 6.3 ± 2.0 cm³ ), followed by a slow and gradual shrinking after this phase. Decrease in ovarian volume became significant after the fourth postmenopausal year. Transvaginal ultrasonography demonstrated great importance as an investigative method of ovarian diseases in postmenopausal women.
Downloads
References
. Karlan BY, Raffel LJ, Crvenkovic G, et al. A multidisciplinary approach to the early detection of ovarian carcinoma: rationale, protocol design, and early results. Am J Obstet Gynecol 1993;169(3):494.
Gambrell RD Jr. Use of progestogen therapy. Am J Obst Gynecol 1987;156:1304.
Wolf SI, Gosink BB, Feldesman MR. Prevalence of simple adnexal cysts in postmenopausal women. Radiology 1991;180:65.
Nicosia SV. Morphological changes of the human ovary throughout life. In: Sorra CB, ed. The Ovary. New York: Raven Press, 1983.
Lang WR, Apont GE. Gross and microscopic anatomy of the aged female reproductive organs. Clin Obst Gynecol 1978;10:454.
Block E. Quantitative morphological investigations of the follicular system in women. Acta Anatom 1952;14:108.
Iwamoto VM, Wehba S, Ferreira JAS, et al. Comportamento do volume ovariano pela ultra-sonografia em mulheres na pos-menopausa. Reprodução 1989;4(2):75.
Chakravarti S, Collins WP, Forecast JD, Newton JR, Oram DH, Studd JWW. Hormonal profiles after the menopausal. Br Med J 1976;2:784.
Wehba, S. Teste de progesterona no rastreamento de lesões hiperplásicas de mulheres na pós-menopausa. Tese de Doutorado em Ginecologia. Escola Paulista de Medicina, 1988.
Ivarsson SA, Nilsson KO, Persso PH. Ultrasonography of the pelvic organs in prepubertal and postpubertal girls. Arch Dis Child, 1983;58:352.
Campbell S, Goessons L, Goswamy RK, Whitehead M. Real time ultrasonography for determination of ovarian morphologycal and volume: a possible early screening lest for ovarian cancer? Lancet 1982;I:425.
Nasri MN, Coast GJ. Correlation of ultrasound findings and endometrial histopathology in postmenopausal women. Br J Obstet Gynaecol 1989;96:1333.
Nasri N, Shepherd, JH, Setchell ME, Lowe DG, Chard T. Role of vaginal scan in measurement of endometrial thickness in postmenopausal women. Br J Obstet Gynaecol 1991;98:470.
Timor-Tritsch IE. Is office use of vaginal ultrasonography feasible? Am J Obstet Gynecol 1990;162(4):983.
Andolf E, Svalenius ES, Asted B. Ultrasonography for early detection of ovarian carcinoma. Br J Obst Gynecol 1986;93:1286.
Chang JR, Judd HL. The ovary after menopause. Clin Obst Gynecol 1981;24:191.
Bjorkhol E, Silfverswar C. Prognostic factors in granulosa cell tumors. Gynecol Oncol 1971;11: 261.
Fox H, Agrawet K, Langley FA. A clinicopathologic study of 92 cases of granulosa cell tumor of the ovary with special reference to the factor influencing prognosis. Cancer 1975;35:231.
van Nagell JR, DePriest PD, Puls LE, et al. Ovarian cancer screening in asymptomatic postmenopausal women by transvaginal sonography. Cancer 1991;68:458.
van Nagell JR, Higgins RV, Donaldson ES, et al. Transvaginal sonography as a screening method for ovarian cancer. Cancer 1991;65:573.
