Mobile uterine retroversion is associated with dyspareunia and dysmenorrhea in an unselected population of women.
OBJECTIVE
To determine if isolated retroversion is a cause of pelvic pain symptoms.


METHODS
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.


CONCLUSIONS
Mobile uterine retroversion is associated with dyspareunia and dysmenorrhea in a population of unselected women.
Fauconnier
Arnaud
A
Department of Gynecologic Surgery, Clinique Universitaire Baudelocque, CHU Cochin, Saint Vincent de Paul, La Roche-Guyon, 123 bd Port-Royal, 75079 Paris Cedex 14, France. afauconnier@chi-poissy-st-germain.fr
Dubuisson
Jean-Bernard
JB
Foulot
Hervé
H
Deyrolles
Caroline
C
Sarrot
Florence
F
Laveyssière
Marie-Noëlle
MN
Jansé-Marec
Joelle
J
Bréart
Gérard
G
D000328:Adult; D003430:Cross-Sectional Studies; D004412:Dysmenorrhea / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D004414:Dyspareunia / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D017699:Pelvic Pain / Q000209:etiology; D011795:Surveys and Questionnaires; D014591:Uterine Diseases / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D014599:Uterus / Q000473:pathology