Ultrasound features of the endometrium in women with abnormal uterine bleeding on the background of extragenital pathology

Abstract

The article presents the results of dopplerometry of the uterine vessels in 45 women aged 40-55 years with abnormal uterine bleeding (AUB) – in 25 of them against the background of the metabolic syndrome (MS), which made up the main group and in 20 without MS (comparative group). The control group consisted of 20 women with a normal menstrual cycle. All women with AUB underwent ultrasound of the uterus and appendages on the day of treatment, and women in the control group – on the 5-8th day of the menstrual cycle. Ultrasound in patients with AUB against the background of MS revealed a threefold increase in the thickness and 1.6 times in the volume of the endometrium compared with the control group (p<0.05). The presence of polypoid formations in the uterine cavity was detected in 7 (35%) patients with AUB, in 3 (15%) women with AUB against the background of MS. It was found that in women with AUB, compared with women in the control group, the indices of resistance (P<0.05) and pulsation (P<0.001) significantly decreased in the radial and basal arteries. In women with AUB against the background of MS, the thickness (P<0.05) and volume (P<0.001) of the endometrium significantly increased. The results of the study show that the metabolic syndrome is one of the factors in the development of endometrial hyperplasia, which is the cause of abnormal uterine bleeding. Doppler ultrasound in these women reveals a significant decrease in vascular resistance.