Relationship Between Genitourinary Syndrome of Menopause and 3D High-Frequency Endovaginal Ultrasound Measurement of Vaginal Wall Thickness

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dc.authoridGürsoy, Ali/0000-0001-7275-3800en_US
dc.contributor.authorPeker, Hakan
dc.contributor.authorGürsoy, Ali
dc.date.accessioned2024-07-12T21:37:33Z
dc.date.available2024-07-12T21:37:33Z
dc.date.issued2021en_US
dc.department[Belirlenecek]en_US
dc.description.abstractBackground: To date, there is no certain method for diagnosis of genitourinary syndrome of menopause (GSM) and vaginal atrophy. Aim: We aim to evaluate vaginal wall thickness (VWT) using 3D high frequency endovaginal ultrasound (3D EVUS) in GSM and also to investigate whether there is any association between VWT and postmenopausal sexual dysfunction. Methods: Postmenopausal women applied for routine gynecologic examination were assessed at the Outpatient Clinic of Gynecology, Maltepe University Hospital. After pelvic examination, GSM symptoms were questioned for all women and vaginal health scoring tool was applied. Twenty women with GSM and 20 women without GSM were included in the study. Outcomes: All patients filled in the Female Sexual Function Index (FSFI) and underwent 3D EVUS to evaluate VWT. Results: The women with GSM had significantly lower anterior and posterior VWT (P=.007 and P=.049, respectively). The total FSFI score, lubrication and pain sub-scores in patients with GSM was significantly lower than the patients without GSM. Anterior VWT was positively correlated with BMI and pain sub-score of FSFI (r=0.279, P=.047; r=0.344, P=.013, respectively). A significant negative correlation was detected between anterior vaginal VWT and age, time since menopause and satisfaction sub-score of FSFI (r=-0.332, P=.017; r=-0.354, P=.011; r=-0.301, P=.032, respectively). Posterior VWT was positively correlated with FSFI total score, arousal, lubrication and pain sub scores (r=0.451, P=.001; r=0.437, P=.001; r=0.415, P=.002; r=0.335, P=.016; respectively). Clinical Implications: Based on our results, measurement of VWT using 3D EVUS can be a useful non-invasive tool for the objective diagnosis of GSM. Strengths and Limitations: Considering that only total vaginal thickness can be measured with traditional transabdominal and transvaginal techniques, the main strength of the study is the use of 3D EVUS for separate measurement of anterior and posterior VWT. The study has sufficient statistical power. The small sample size of study is the main limitation. Conclusion: The 3D EVUS can be used for objective diagnosis of GSM and can also shed light on the causes of various sexual dysfunction symptoms in postmenopausal women, as it enables measuring the anterior and posterior walls of the vagina separately. Copyright (C) 2021, International Society of Sexual Medicine. Published by Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jsxm.2021.05.004
dc.identifier.endpage1235en_US
dc.identifier.issn1743-6095
dc.identifier.issn1743-6109
dc.identifier.issue7en_US
dc.identifier.scopus2-s2.0-85108955446en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1230en_US
dc.identifier.urihttps://doi.org/10.1016/j.jsxm.2021.05.004
dc.identifier.urihttps://hdl.handle.net/20.500.12415/6848
dc.identifier.volume18en_US
dc.identifier.wosWOS:000675477900008en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofJournal of Sexual Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY04190
dc.subjectMenopauseen_US
dc.subjectUltrasonographyen_US
dc.subjectVaginal Wall Thicknessen_US
dc.subjectGenitourinary Syndrome Of Menopauseen_US
dc.titleRelationship Between Genitourinary Syndrome of Menopause and 3D High-Frequency Endovaginal Ultrasound Measurement of Vaginal Wall Thicknessen_US
dc.typeArticle
dspace.entity.typePublication

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