Ultrasound parameters of pelvic organs and their age-related changes in a cohort of asymptomatic postmenopausal women: A community-based study

Objective To describe the ultrasound parameters of pelvic organs and their age-related changes in a cohort of asymptomatic postmenopausal women and to describe the prevalence of ultrasound-detected pathologies in a Sri Lankan population. Study design A large community-based longitudinal study using...

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Published in:Post reproductive health 2020-09, Vol.26 (3), p.147-154
Main Authors: Dias, Thiran D, Palihawadana, Thilina S, Patabendige, Malitha, Motha, Mary BC, de Silva, Hithanadura J
Format: Article
Language:English
Subjects:
Age
Asymptomatic
Endometrial cancer
Hormone replacement therapy
Menopause
Ovaries
Ultrasonic imaging
Womens health
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container_end_page 154
container_issue 3
container_start_page 147
container_title Post reproductive health
container_volume 26
creator Dias, Thiran D
Palihawadana, Thilina S
Patabendige, Malitha
Motha, Mary BC
de Silva, Hithanadura J
description Objective To describe the ultrasound parameters of pelvic organs and their age-related changes in a cohort of asymptomatic postmenopausal women and to describe the prevalence of ultrasound-detected pathologies in a Sri Lankan population. Study design A large community-based longitudinal study using a randomly selected sample of postmenopausal women who have never used hormone replacement therapy. Main outcome measures Uterine, endometrial and ovarian measurements at pelvic ultrasonography as described by the International Endometrial Tumor Analysis and the International Ovarian Tumor Analysis groups. Results A total of 815 postmenopausal women were approached and all volunteered to participate. This included women between the ages of 45 and 74 years with a median (interquartile range (IQR)) of 62.0 (10.0) years. The median (IQR) uterine volume was 18.1 (17) ml, while the median (IQR) of right and left ovarian volumes were 17.3 (22.9) ml and 18.2 (21.5) ml. Both uterine and ovarian volumes showed an age-related decline (p 
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Study design A large community-based longitudinal study using a randomly selected sample of postmenopausal women who have never used hormone replacement therapy. Main outcome measures Uterine, endometrial and ovarian measurements at pelvic ultrasonography as described by the International Endometrial Tumor Analysis and the International Ovarian Tumor Analysis groups. Results A total of 815 postmenopausal women were approached and all volunteered to participate. This included women between the ages of 45 and 74 years with a median (interquartile range (IQR)) of 62.0 (10.0) years. The median (IQR) uterine volume was 18.1 (17) ml, while the median (IQR) of right and left ovarian volumes were 17.3 (22.9) ml and 18.2 (21.5) ml. Both uterine and ovarian volumes showed an age-related decline (p &lt; 0.01). Furthermore, the ovarian volumes demonstrated an increase in size with a higher body mass index (p &lt; 0.03 for left and p &lt; 0.01 for right, respectively). Median (IQR) endometrial thickness among the population was 3.0 (1.0) mm and there was no age-related change observed. Sixty-one women had an ultrasound-detected gynaecological pathology with a prevalence of 7.5% (95% confidence interval (CI) 5.6–9.5). Conclusions This study aimed at describing ultrasound parameters of pelvic organs among postmenopausal women of Sri Lanka was able to provide the reference values for uterine and ovarian volume among asymptomatic postmenopausal women. Both uterine and ovarian volumes demonstrated an age-related decline, whereas the endometrial thickness does not seem to relate to the age.</description><identifier>ISSN: 2053-3691</identifier><identifier>EISSN: 2053-3705</identifier><identifier>DOI: 10.1177/2053369120915145</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Age ; Asymptomatic ; Endometrial cancer ; Hormone replacement therapy ; Menopause ; Ovaries ; Ultrasonic imaging ; Womens health</subject><ispartof>Post reproductive health, 2020-09, Vol.26 (3), p.147-154</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c233t-e33310b022441afe3edad31f2cfa29c696ce7cfa674be574c2463c41c268486c3</cites><orcidid>0000-0002-9009-2476</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,79236</link.rule.ids></links><search><creatorcontrib>Dias, Thiran D</creatorcontrib><creatorcontrib>Palihawadana, Thilina S</creatorcontrib><creatorcontrib>Patabendige, Malitha</creatorcontrib><creatorcontrib>Motha, Mary BC</creatorcontrib><creatorcontrib>de Silva, Hithanadura J</creatorcontrib><title>Ultrasound parameters of pelvic organs and their age-related changes in a cohort of asymptomatic postmenopausal women: A community-based study</title><title>Post reproductive health</title><description>Objective To describe the ultrasound parameters of pelvic organs and their age-related changes in a cohort of asymptomatic postmenopausal women and to describe the prevalence of ultrasound-detected pathologies in a Sri Lankan population. Study design A large community-based longitudinal study using a randomly selected sample of postmenopausal women who have never used hormone replacement therapy. Main outcome measures Uterine, endometrial and ovarian measurements at pelvic ultrasonography as described by the International Endometrial Tumor Analysis and the International Ovarian Tumor Analysis groups. Results A total of 815 postmenopausal women were approached and all volunteered to participate. This included women between the ages of 45 and 74 years with a median (interquartile range (IQR)) of 62.0 (10.0) years. The median (IQR) uterine volume was 18.1 (17) ml, while the median (IQR) of right and left ovarian volumes were 17.3 (22.9) ml and 18.2 (21.5) ml. Both uterine and ovarian volumes showed an age-related decline (p &lt; 0.01). Furthermore, the ovarian volumes demonstrated an increase in size with a higher body mass index (p &lt; 0.03 for left and p &lt; 0.01 for right, respectively). Median (IQR) endometrial thickness among the population was 3.0 (1.0) mm and there was no age-related change observed. Sixty-one women had an ultrasound-detected gynaecological pathology with a prevalence of 7.5% (95% confidence interval (CI) 5.6–9.5). Conclusions This study aimed at describing ultrasound parameters of pelvic organs among postmenopausal women of Sri Lanka was able to provide the reference values for uterine and ovarian volume among asymptomatic postmenopausal women. 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Study design A large community-based longitudinal study using a randomly selected sample of postmenopausal women who have never used hormone replacement therapy. Main outcome measures Uterine, endometrial and ovarian measurements at pelvic ultrasonography as described by the International Endometrial Tumor Analysis and the International Ovarian Tumor Analysis groups. Results A total of 815 postmenopausal women were approached and all volunteered to participate. This included women between the ages of 45 and 74 years with a median (interquartile range (IQR)) of 62.0 (10.0) years. The median (IQR) uterine volume was 18.1 (17) ml, while the median (IQR) of right and left ovarian volumes were 17.3 (22.9) ml and 18.2 (21.5) ml. Both uterine and ovarian volumes showed an age-related decline (p &lt; 0.01). Furthermore, the ovarian volumes demonstrated an increase in size with a higher body mass index (p &lt; 0.03 for left and p &lt; 0.01 for right, respectively). Median (IQR) endometrial thickness among the population was 3.0 (1.0) mm and there was no age-related change observed. Sixty-one women had an ultrasound-detected gynaecological pathology with a prevalence of 7.5% (95% confidence interval (CI) 5.6–9.5). Conclusions This study aimed at describing ultrasound parameters of pelvic organs among postmenopausal women of Sri Lanka was able to provide the reference values for uterine and ovarian volume among asymptomatic postmenopausal women. Both uterine and ovarian volumes demonstrated an age-related decline, whereas the endometrial thickness does not seem to relate to the age.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><doi>10.1177/2053369120915145</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9009-2476</orcidid></addata></record>
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subjects Age
Asymptomatic
Endometrial cancer
Hormone replacement therapy
Menopause
Ovaries
Ultrasonic imaging
Womens health
title Ultrasound parameters of pelvic organs and their age-related changes in a cohort of asymptomatic postmenopausal women: A community-based study
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