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.
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
Arnaud
A
Fauconnier
Jean-Bernard
JB
Dubuisson
Hervé
H
Foulot
Caroline
C
Deyrolles
Florence
F
Sarrot
Marie-Noëlle
MN
Laveyssière
Joelle
J
Jansé-Marec
Gérard
G
Bréart
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