Vaginal elasticity is significantly decreased in vaginal atr
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Strain elastography is a novel method to assess the elasticity of tissues. Researchers aimed to evaluate the value of vaginal strain elastography in women with vulvovaginal atrophy (VVA).

Women with or without VVA were enrolled in this prospective study. Participants underwent vaginal cytology and vaginal wall elastography. Vaginal Health Index (VHI) was calculated. Based on the Vaginal Maturation Value (VMV), participants were divided into atrophic and nonatrophic groups. Elastography parameters of the vaginal walls were measured in nine regions of interest (ROI). Elastography Index (EI) was defined by the average color score of nine ROIs. Groups were compared with unpaired t-test or Mann-Whitney U test. Pearson correlation was used to determine the strength of association between EI and selected parameters. Multiple regression was used to evaluate the association between Elastography Index and age, VMV, and vaginal atrophy.

Ten women were diagnosed with VVA, and twenty had no cytological signs of vaginal atrophy (age-range 38-79 y). VHI score was significantly lower in the atrophic group. In the atrophic group, Elastography Index was significantly lower than in a nonatrophic group. Researchers found a strong negative correlation between Elastography Index and vaginal atrophy. In the multiple regression model, only atrophy remained statistically significant for the prediction of the Elastography Index.

Vaginal elasticity is significantly decreased in women with vaginal atrophy, measured by Elastography Index. These results suggest that strain elastography might be useful in the diagnosis of vaginal atrophy.

Source:https://journals.lww.com/menopausejournal/Abstract/2020/12000/Vaginal_elasticity_is_significantly_decreased_in.14.aspx
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