R. Ciortea, D. Diculescu, A. Malutan, C. Berceanu, R. Nicula, C. Bucuri, I. Oltean, M. Dudea, D. Mihu
Abstract: Aims. To characterize the vascularity of endometriotic cysts using color Doppler ultrasound and to differentiate
more accurately between endometriotic cysts and other pelvic cyst masses. Methods. Two prospective studies
were initiated: the first included 50 patients diagnosed with ovarian endometriotic cysts and 50 patients
without gynecological pathology, in whom the resistance index (RI) of the uterine artery, ovarian artery and
endometrial arcuate arteries in the early secretory phase was determined by endovaginal Doppler ultrasound;
the second study included 50 patients diagnosed with ovarian endometriotic cysts, in whom the RI of the uterine
artery, ovarian artery and cyst wall arteries in the late proliferative phase and in the late secretory phase was
determined. Results. In the early secretory phase, the vascular flow through the uterine artery was significantly
higher in patients with ovarian endometrioma. These patients had increased endometrial vascularity in the
early secretory phase compared to the control group. In the late secretory phase, the vascular flow through the
ovarian artery was higher compared to the late proliferative phase in patients with ovarian endometrioma. The
vascularization of the ovarian endometrioma wall was significantly increased in the late secretory phase compared
to the late proliferative phase. Conclusions. Vascularization, described through the arrangement of vessels,
vascular density and vascular resistance, is an important factor in the evaluation of ovarian endometrioma.
DOI:10.18643/gieu.2016.80