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Marco Zaccaria: Enhanced Myometrial Vascularity: Ultrasound Findings and Clinical Context
Marco Zaccaria/LinkedIn
Jun 17, 2026, 11:08

Marco Zaccaria: Enhanced Myometrial Vascularity: Ultrasound Findings and Clinical Context

Marco Zaccaria, Global Product Manager at ESGE European Society Gynecology Endoscopy, shared a post on LinkedIn:

“Enhanced Myometrial Vascularity (EMV) is an ultrasound finding characterized by a temporary increase in blood flow within the myometrium

It typically develops as a result of changes or trauma to the uterine circulation and the most common causes include:

  • Outcomes of pregnancy: It is frequently observed following childbirth, a miscarriage, or an induced abortion
  • Retained products of conception (RPOC): Fragments of the placenta or pregnancy tissue remaining in the uterus keep local blood vessels dilated and hyperactive
  • Recent intrauterine procedures: Procedures such as dilation and curettage, cesarean delivery, or removal of fibroids

The diagnosis is primarily made using transvaginal ultrasound with Color Doppler and on examination, EMV presents with:

Tortuous, dilated vascular structures resembling small tubes that infiltrate the uterine muscle tissue

Turbulent, high-velocity blood flow (often assessed by measuring peak systolic velocity).”

Marco Zaccaria: Enhanced Myometrial Vascularity: Ultrasound Findings and Clinical Context

Stay updated on all scientific advances in the field of fertility with Fertility News.

cesarean delivery Curettage Enhanced Myometrial Vascularity Fibroids Gynecology Endoscopy Marco Zaccaria myometrium placenta pregnancy Recent intrauterine procedures Retained products of conception
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