Stenosis of the external cervical os: an association with endometriosis in women with chronic pelvic pain.
OBJECTIVE
To report a simple technique for diagnosing stenosis of the external cervical os and to evaluate an association between stenosis of the external cervical os and endometriosis in women with chronic pelvic pain.


METHODS
Case series.


METHODS
Academic medical center.


METHODS
Twenty-five women with chronic pelvic pain and stenosis of the external cervical os.


METHODS
Measurement of the diameter of the external cervical os.


METHODS
Association between cervical stenosis and surgically documented endometriosis in women with chronic pelvic pain.


RESULTS
Endometriosis was visually documented at surgery for 24 of 25 women with chronic pelvic pain and stenosis of the external cervical os.


CONCLUSIONS
Endometriosis is a common finding in women with both stenosis of the external cervical os and chronic pelvic pain.
Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
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Barbieri
D000328:Adult; D002584:Cervix Uteri / Q000473:pathology*; D002908:Chronic Disease; D003251:Constriction, Pathologic; D004715:Endometriosis / Q000150:complications / Q000473:pathology*; D005260:Female; D006801:Humans; D017699:Pelvic Pain / Q000209:etiology*