Ultrasonographic Assessment of Uterine and Ovarian Structural Changes during the Menstrual Cycle in Relation to Hormonal Variations

Background: The menstrual cycle involves complex hormonal interactions that induce structural and functional changes in the uterus and ovaries. Ultrasonographic imaging offers a noninvasive means to assess these variations. This study evaluates uterine and ovarian structural changes during different...

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Main Authors: Shambhavi Soni, Akash Bansal, Aishwarya Srivastava, Amit Kumar Srivastava
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-06-01
Series:Journal of Pharmacy and Bioallied Sciences
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Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_191_25
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author Shambhavi Soni
Akash Bansal
Aishwarya Srivastava
Amit Kumar Srivastava
author_facet Shambhavi Soni
Akash Bansal
Aishwarya Srivastava
Amit Kumar Srivastava
author_sort Shambhavi Soni
collection DOAJ
description Background: The menstrual cycle involves complex hormonal interactions that induce structural and functional changes in the uterus and ovaries. Ultrasonographic imaging offers a noninvasive means to assess these variations. This study evaluates uterine and ovarian structural changes during different phases of the menstrual cycle and correlates them with hormonal fluctuations. Materials and Methods: A prospective observational study was conducted on 50 women aged 20–35 years with regular menstrual cycles. Participants underwent transabdominal and transvaginal ultrasonography during the follicular, ovulatory, and luteal phases. Hormonal levels of estrogen, progesterone, and luteinizing hormone (LH) were assessed using serum samples collected at each phase. Measurements included endometrial thickness, ovarian follicle diameter, and corpus luteum dimensions. Results: Endometrial thickness showed a progressive increase from the follicular phase (4.5 ± 0.8 mm) to the luteal phase (10.2 ± 1.1 mm, P < 0.05). The dominant follicle diameter peaked during ovulation (18.5 ± 2.0 mm, P < 0.01) and was replaced by the corpus luteum in the luteal phase (14.0 ± 1.5 mm, P < 0.05). Hormonal analysis revealed a significant rise in estrogen during the follicular phase (mean: 180 ± 20 pg/mL), LH surge at ovulation (mean: 25 ± 5 IU/L), and elevated progesterone levels during the luteal phase (mean: 15 ± 3 ng/mL). Conclusion: Ultrasonographic assessment effectively demonstrates dynamic structural changes in the uterus and ovaries during the menstrual cycle. These changes correlate significantly with hormonal variations, providing valuable insights into reproductive health and aiding in the diagnosis of menstrual disorders.
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spelling doaj-art-3d238742fee54fbb97f3cd2ef219f9df2025-08-20T02:42:28ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062025-06-0117Suppl 2S1622S162410.4103/jpbs.jpbs_191_25Ultrasonographic Assessment of Uterine and Ovarian Structural Changes during the Menstrual Cycle in Relation to Hormonal VariationsShambhavi SoniAkash BansalAishwarya SrivastavaAmit Kumar SrivastavaBackground: The menstrual cycle involves complex hormonal interactions that induce structural and functional changes in the uterus and ovaries. Ultrasonographic imaging offers a noninvasive means to assess these variations. This study evaluates uterine and ovarian structural changes during different phases of the menstrual cycle and correlates them with hormonal fluctuations. Materials and Methods: A prospective observational study was conducted on 50 women aged 20–35 years with regular menstrual cycles. Participants underwent transabdominal and transvaginal ultrasonography during the follicular, ovulatory, and luteal phases. Hormonal levels of estrogen, progesterone, and luteinizing hormone (LH) were assessed using serum samples collected at each phase. Measurements included endometrial thickness, ovarian follicle diameter, and corpus luteum dimensions. Results: Endometrial thickness showed a progressive increase from the follicular phase (4.5 ± 0.8 mm) to the luteal phase (10.2 ± 1.1 mm, P < 0.05). The dominant follicle diameter peaked during ovulation (18.5 ± 2.0 mm, P < 0.01) and was replaced by the corpus luteum in the luteal phase (14.0 ± 1.5 mm, P < 0.05). Hormonal analysis revealed a significant rise in estrogen during the follicular phase (mean: 180 ± 20 pg/mL), LH surge at ovulation (mean: 25 ± 5 IU/L), and elevated progesterone levels during the luteal phase (mean: 15 ± 3 ng/mL). Conclusion: Ultrasonographic assessment effectively demonstrates dynamic structural changes in the uterus and ovaries during the menstrual cycle. These changes correlate significantly with hormonal variations, providing valuable insights into reproductive health and aiding in the diagnosis of menstrual disorders.https://journals.lww.com/10.4103/jpbs.jpbs_191_25endometrial thicknesshormonal variationsmenstrual cycleovarian changesovarian follicleultrasonographyuterine changes
spellingShingle Shambhavi Soni
Akash Bansal
Aishwarya Srivastava
Amit Kumar Srivastava
Ultrasonographic Assessment of Uterine and Ovarian Structural Changes during the Menstrual Cycle in Relation to Hormonal Variations
Journal of Pharmacy and Bioallied Sciences
endometrial thickness
hormonal variations
menstrual cycle
ovarian changes
ovarian follicle
ultrasonography
uterine changes
title Ultrasonographic Assessment of Uterine and Ovarian Structural Changes during the Menstrual Cycle in Relation to Hormonal Variations
title_full Ultrasonographic Assessment of Uterine and Ovarian Structural Changes during the Menstrual Cycle in Relation to Hormonal Variations
title_fullStr Ultrasonographic Assessment of Uterine and Ovarian Structural Changes during the Menstrual Cycle in Relation to Hormonal Variations
title_full_unstemmed Ultrasonographic Assessment of Uterine and Ovarian Structural Changes during the Menstrual Cycle in Relation to Hormonal Variations
title_short Ultrasonographic Assessment of Uterine and Ovarian Structural Changes during the Menstrual Cycle in Relation to Hormonal Variations
title_sort ultrasonographic assessment of uterine and ovarian structural changes during the menstrual cycle in relation to hormonal variations
topic endometrial thickness
hormonal variations
menstrual cycle
ovarian changes
ovarian follicle
ultrasonography
uterine changes
url https://journals.lww.com/10.4103/jpbs.jpbs_191_25
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AT aishwaryasrivastava ultrasonographicassessmentofuterineandovarianstructuralchangesduringthemenstrualcycleinrelationtohormonalvariations
AT amitkumarsrivastava ultrasonographicassessmentofuterineandovarianstructuralchangesduringthemenstrualcycleinrelationtohormonalvariations