Research Article

Sonographic Signs of Adenomyosis Are Prevalent in Women Undergoing Surgery for Endometriosis and May Suggest a Higher Risk of Infertility

Table 2

Transvaginal ultrasound features suggestive of adenomyosis and their prevalence in women undergoing surgery for endometriosis versus controls.

Endometriosis
()
Control
()

Asymmetrical myometrial thickening (%)64 (68.1)38 (63.3)0.602
Myometrial cysts (%)80 (85.1)47 (78.3)0.287
Parallel shadowing (%)54 (57.5)22 (36.7)0.01
Hyperechoic islands (%)76 (80.9)46 (76.7)0.547
Linear striations (%)25 (26.6)27 (45.0)0.02
Irregular EMJ (%)81 (86.2)26 (43.3)<0.00
Focal adenomyomas (%)36 (38.3)7 (11.7)<0.00
Number of features, mean ± SD4.4 ± 2.03.5 ± 2.30.00
Any feature (%)84 (89.4)47 (78.3)0.068
Number of features ≥ 3 (%)82 (87.2)41 (68.3)0.00
Number of features ≥ 5 (%)54 (57.4)21 (35)0.00

EMJ: endometrial-myometrial junction; SD: standard deviation. significant finding.