Marco Zaccaria: The Role of the Junctional Zone in the Management of Adenomyosis With Infertility
Marco Zaccaria, Global Product Manager at ESGE European Society Gynecology Endoscopy, shared a post on LinkedIn:
“How important is it to identify and evaluate the endometrium-myometrium interface (JZ) via ultrasound in a women with adenomyosis?
On an ultrasound, the thickness of the junctionalzone (the inner layer of the myometrium, in direct contact with the endometrium) is considered normal when it measures between 5 and 8 mm
In diagnostic imaging for adenomyosis, a junctional zone (JZ) thickness of more than 12 mm is the most widely accepted indicator for a likely diagnosis
Look also for specific qualitative and quantitative markers:
JZ Ratio: A ratio of the maximum JZ thickness to the total myometrial thickness of >40% is often used as a diagnostic parameter
JZ Difference: A difference between the maximum and minimum thickness of the JZ (JZmax − JZmin) exceeding 5 mm
Morphological Changes: an irregular, ill-defined, or ‘hazy’ appearance of the junctional zone on ultrasound, often accompanied by small myometrial cysts or asymmetric thickening of the uterine walls
As clinical impact, increased JZ thickness is significantly linked to reproductive issues, including a higher risk of embryo implantation failure during IVF treatments
Enjoy reading and studying.”
Title: The role of the junctional zone in the management of adenomyosis with infertility
Authors: Sha Wang, Hua Duan
Stay updated on all scientific advances in the field of fertility with Fertility News.
-
Jun 24, 2026, 00:02Your C-Section Scar Could Be decreasing Your IVF Baby Dreams – Fertility Plus
-
Jun 23, 2026, 23:53Reem Prince: Marked Unilateral Femoral Shortening Seen at 22 Weeks of Gestation
-
Jun 23, 2026, 23:43Emma Marie Swift: Nearly One-Third of Eligible Women Did Not Recall Aspirin Advice
-
Jun 23, 2026, 23:32Christopher Robinson: Global Trends in Reproductive Tourism and ART Use in the United States
-
Jun 23, 2026, 23:30Estimated Lifetime Risk of Dying From Pregnancy – Our World in Data
-
Jun 23, 2026, 23:23Juan J. Fraire-Zamora: Experts to Examine the Most Influential Human Reproduction Publication of the 1980s
-
Jun 23, 2026, 15:37Sergio Haimovich: A Septate Uterus Is Not Only a Fertility Issue But Also Influences Fetus Growth
-
Jun 23, 2026, 15:32Akansha Negi: AMH – A Number That Guides Treatment, Not a Number That Defines Fertility
-
Jun 23, 2026, 14:51UOG Journal Special Issue to Spotlight Advances in Congenital Heart Disease Research – ISUOG