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.