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  • 85 -9 (83) 2025 - Nakhshidil N.A., Farkhad I.Sh. - ANALYSIS OF ECHODOPPLEROMETRIC PARAMETERS IN WOMEN WITH ABNORMAL UTERINE BLEEDING ASSOCIATED WITH OVULATORY DYSFUNCTION

85 -9 (83) 2025 - Nakhshidil N.A., Farkhad I.Sh. - ANALYSIS OF ECHODOPPLEROMETRIC PARAMETERS IN WOMEN WITH ABNORMAL UTERINE BLEEDING ASSOCIATED WITH OVULATORY DYSFUNCTION

ANALYSIS OF ECHODOPPLEROMETRIC PARAMETERS IN WOMEN WITH ABNORMAL UTERINE BLEEDING ASSOCIATED WITH OVULATORY DYSFUNCTION

Nakhshidil N.A. - Tashkent State Medical University

Farkhad I.Sh. - Tashkent State Medical University

Resume

Abnormal uterine bleeding (AUB) in reproductive-aged women is one of the most common gynecological disorders, with a significant proportion associated with ovulatory dysfunction. Ultrasound and Doppler assessments play a crucial role in early diagnosis and evaluation of underlying pathophysiological mechanisms. Objective. To analyze ultrasound and Doppler parameters in women with abnormal uterine bleeding related to ovulatory dysfunction. Methods. An analytical study combining prospective observation and retrospective analysis was conducted, including 120 women divided into three age groups and a control group. Endometrial thickness, ovarian volume, antral follicle count (AFC), and dominant follicle development were assessed. Doppler indices, including resistance index (RI) and pulsatility index (PI) of uterine and ovarian arteries, were measured. Results. Endometrial thickness (p<0.001), ovarian volume (p<0.01), and AFC (p<0.001) significantly decreased with advancing reproductive age. Dominant follicle development was observed in only 26.7% of women in the oldest group. RI and PI values progressively increased with age (p<0.001), indicating reduced endometrial perfusion and impaired ovarian stromal blood flow. Conclusion. Ultrasound and Doppler indices are key biomarkers of morphofunctional alterations in AUB associated with ovulatory dysfunction and have significant diagnostic value for guiding individualized therapeutic and preventive strategies.

Keywords: abnormal uterine bleeding, ovulatory dysfunction, ultrasound, Doppler analysis, endometrium, ovarian reserve.

First page

520

Last page

528

For citation:Nakhshidil N.A., Farkhad I.Sh. - ANALYSIS OF ECHODOPPLEROMETRIC PARAMETERS IN WOMEN WITH ABNORMAL UTERINE BLEEDING ASSOCIATED WITH OVULATORY DYSFUNCTION//New Day in Medicine 9(83)2025 520-528 https://newdayworldmedicine.com/en/new_day_medicine/9-83-2025

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