Mobile uterine retroversion is associated with dyspareunia and dysmenorrhea in an unselected population of women

Arnaud Fauconnier, Jean‐Bernard Dubuisson, Jean-Bernard Dubuisson, H. Foulot, Hervé Foulot, Caroline Deyrolles, Florence Sarrot, Marie-Noëlle Laveyssière, J Jansé-Marec, Joelle Jansé-Marec, Gérard Bréart
European Journal of Obstetrics & Gynecology and Reproductive Biology · 2006 · vol. 127(2) , pp. 252–256 · doi:10.1016/j.ejogrb.2005.11.026 · PMID:16494992 · W2018929972
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This study investigated the association between mobile uterine retroversion and painful sexual intercourse and menstrual cramps in a general population of women.

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Abstract

OBJECTIVE: To determine if isolated retroversion is a cause of pelvic pain symptoms. STUDY DESIGN: One hundred and eleven premenopausal women consulting for routine examination in the gynecology department of two hospitals and two gynecologic private practices were evaluated for chronic pelvic pain symptoms with a self-administered questionnaire. Uterine position and mobility was assessed by pelvic examination. Women with fixed uterus were excluded. RESULTS: Twenty-seven women (24.3%) had a retroverted uterus, and 84 (75.7%) had an anteverted or intermediate uterus. Uterine retroversion was associated with a higher prevalence of dyspareunia (66.7% versus 42.1%, p=0.03), a higher visual analogue scale score for dyspareunia (2.7+/-2.6 versus 1.6+/-2.4, p=0.04) and a higher prevalence of severe dysmenorrhea (66.7% versus 42.9% p=0.03). There was no association between uterine retroversion and noncyclic pain, ovulation pain, or premenstrual pain. CONCLUSION: Mobile uterine retroversion is associated with dyspareunia and dysmenorrhea in a population of unselected women.

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Condition tags

dysmenorrheadyspareunia

MeSH descriptors

Dysmenorrhea Dyspareunia Uterine Diseases Uterine Diseases Adult Cross-Sectional Studies Dysmenorrhea Dysmenorrhea Dysmenorrhea Dyspareunia Dyspareunia Dyspareunia Female Humans Pelvic Pain Pelvic Pain Surveys and Questionnaires Uterine Diseases Uterine Diseases Uterus

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