Page 26 - ESHRE2019

KISSING OVARIES
• Both ovaries are jointed behind the uterus in the pouch of Douglas
• Negative sliding sign on applying gentle pressure with the transvaginal ultrasound probe
• Strongly associated with the presence of deep endometriosis and indicates a severe form of the disease (i.e. significant pelvic adhesions)
ENDOMETRIOMA RULES
• Single best discriminator between endometrioma and other cyst is ground glass echogenicity of cyst fluid (sensitivity 73%, specificity 94%)
• Premenopausal status
• One to four locules
• No papillations with detectable blood flow
Von Holsbeke et al. Endometriomas: their ultrasound characteristics. Ultrasound Obstet Gynecol 2010;35‐730‐740
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