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Rev Bras Ginecol Obstet. 2020;42(3):152-159
, , , , To analyze the interobserver and intraobserver reproducibility of the visualization and continuity of the juncional zone (JZ) by three-dimensional (3D) ultrasound in infertile women, and to evaluate the sociodemographic, hormonal, and structural factors that influence these assessments.
A prospective study conducted at the Assisted Reproductive Technology Unit of Hospital Senhora da Oliveira, in the city of Guimarães, Portugal. Transvaginal 3D ultrasonography was performed, and 2 volumes were generated per case. Two observers who were blinded to each other's work analyzed these volumes, choosing the best coronal section. Four months later, one of the observers performed the same methodology. The JZ visualization was classified as optimal, satisfactory, and unsatisfactory, and the JZ continuity, as continuous and discontinuous. The interobserver and intraobserver agreements were analyzed. The influence of hormonal, structural, and sociodemographic factors on the JZ was evaluated.
In total, 65 women were included in the present study. The interobserver reproducibility was substantial for JZ visualization and continuity (k = 0.635 and 0.753 respectively), and the intraobserver reproducibility was very good for JZ visualization and continuity (k = 0.884 and 0.816 respectively). Trilaminar endometrial pattern was associated with optimal JZ visualization (p = 0.012). The increase of 1 unit in the level of serum estradiol represents a 9.9% decrease in the odds of unsatisfactory visualization of the JZ (odds ratio [OR] = 0.9; 95% confidence interval [95%CI] = 0.814–0.996; p = 0.042). Endometriosis increases the odds of unsatisfactory visualization by 24 times (OR = 23.7; 95%CI = 1.262–437.057; p = 0.034). The prevalence of discontinuous JZs was of 60%. Myomas and endometriosis were associated with discontinuous JZs (p = 0.034 and 0.016 respectively).
The assessment of JZ visualization and continuity by 3D ultrasound is reproducible enough to be used in the clinical practice.
Summary
Rev Bras Ginecol Obstet. 2020;42(3):152-159
, , , , To analyze the interobserver and intraobserver reproducibility of the visualization and continuity of the juncional zone (JZ) by three-dimensional (3D) ultrasound in infertile women, and to evaluate the sociodemographic, hormonal, and structural factors that influence these assessments.
A prospective study conducted at the Assisted Reproductive Technology Unit of Hospital Senhora da Oliveira, in the city of Guimarães, Portugal. Transvaginal 3D ultrasonography was performed, and 2 volumes were generated per case. Two observers who were blinded to each other's work analyzed these volumes, choosing the best coronal section. Four months later, one of the observers performed the same methodology. The JZ visualization was classified as optimal, satisfactory, and unsatisfactory, and the JZ continuity, as continuous and discontinuous. The interobserver and intraobserver agreements were analyzed. The influence of hormonal, structural, and sociodemographic factors on the JZ was evaluated.
In total, 65 women were included in the present study. The interobserver reproducibility was substantial for JZ visualization and continuity (k = 0.635 and 0.753 respectively), and the intraobserver reproducibility was very good for JZ visualization and continuity (k = 0.884 and 0.816 respectively). Trilaminar endometrial pattern was associated with optimal JZ visualization (p = 0.012). The increase of 1 unit in the level of serum estradiol represents a 9.9% decrease in the odds of unsatisfactory visualization of the JZ (odds ratio [OR] = 0.9; 95% confidence interval [95%CI] = 0.814–0.996; p = 0.042). Endometriosis increases the odds of unsatisfactory visualization by 24 times (OR = 23.7; 95%CI = 1.262–437.057; p = 0.034). The prevalence of discontinuous JZs was of 60%. Myomas and endometriosis were associated with discontinuous JZs (p = 0.034 and 0.016 respectively).
The assessment of JZ visualization and continuity by 3D ultrasound is reproducible enough to be used in the clinical practice.
Summary
Rev Bras Ginecol Obstet. 2014;36(2):79-83
DOI 10.1590/S0100-72032014000200006
To investigate the presence of depressive symptoms in women with chronic pelvic
pain.
This descriptive cross-sectional study was performed with women aged 18 years or
older, diagnosed with chronic pelvic pain, with no pregnancy history in the
previous year, and with no cancer history. The sample was established by
calculating the representative sample, estimated as 50 women. All women were
undergoing treatment at a gynecology outpatient clinic, referred by the primary
health care network of the Brazilian national health system. Data collection was
performed from October2009 to May 2010. The women's sociodemographic, economic and
clinical characteristics were analyzed. Pain intensity was evaluated using a
visual analogue scale. The depressive symptoms were investigated using Beck's
Depression Inventory. Statistical analysis was performed using position measures
(mean, median), dispersion (standard deviation) and the χ2 test. Values
of p≤ .05 were considered statistically significant.
The participants' mean age was 41.6±9.4 years. The following features
predominated: secondary education level; pardo (brown) skin color; Catholic
religion; and living with a steady partner. Most (98%) were economically active
and worked with general domestic services. Regarding the participants' subjective
perception of pain, 52% reported experiencing intense pain, while 48% reported
experiencing moderate pain. Most women (52%) had been living with pain for five
years or less, and 30%, for over 11 years. The mean BDI score was 17.4 (±9.4). It
was observed that 58% of the women presented mild, moderate and severe depressive
symptoms according to the BDI. The most frequent depressive symptoms were
fatigability, loss of libido, irritability, difficulty to work, somatic
preoccupations, crying, dissatisfaction, sadness, and insomnia.
Depressive symptoms were frequent among these women suffering with chronic pelvic
pain.
Summary
Rev Bras Ginecol Obstet. 2014;36(2):79-83
DOI 10.1590/S0100-72032014000200006
To investigate the presence of depressive symptoms in women with chronic pelvic
pain.
This descriptive cross-sectional study was performed with women aged 18 years or
older, diagnosed with chronic pelvic pain, with no pregnancy history in the
previous year, and with no cancer history. The sample was established by
calculating the representative sample, estimated as 50 women. All women were
undergoing treatment at a gynecology outpatient clinic, referred by the primary
health care network of the Brazilian national health system. Data collection was
performed from October2009 to May 2010. The women's sociodemographic, economic and
clinical characteristics were analyzed. Pain intensity was evaluated using a
visual analogue scale. The depressive symptoms were investigated using Beck's
Depression Inventory. Statistical analysis was performed using position measures
(mean, median), dispersion (standard deviation) and the χ2 test. Values
of p≤ .05 were considered statistically significant.
The participants' mean age was 41.6±9.4 years. The following features
predominated: secondary education level; pardo (brown) skin color; Catholic
religion; and living with a steady partner. Most (98%) were economically active
and worked with general domestic services. Regarding the participants' subjective
perception of pain, 52% reported experiencing intense pain, while 48% reported
experiencing moderate pain. Most women (52%) had been living with pain for five
years or less, and 30%, for over 11 years. The mean BDI score was 17.4 (±9.4). It
was observed that 58% of the women presented mild, moderate and severe depressive
symptoms according to the BDI. The most frequent depressive symptoms were
fatigability, loss of libido, irritability, difficulty to work, somatic
preoccupations, crying, dissatisfaction, sadness, and insomnia.
Depressive symptoms were frequent among these women suffering with chronic pelvic
pain.