The Potential Role of Uterine Retroversion in Pelvic Pain Symptoms and Caesarean Delivery

Year 2021, , 239 - 243, 31.12.2021

Meral Tuğba Acar Çimşir , Muhammet Serhat Yıldız

https://doi.org/10.30565/medalanya.883872

Abstract

Aim: Uterin Retroversion is a common status in the women population and assumed to be related with pelvic pain symptoms. The aim of this study is to investigate whether uterine retroversion is associated with pelvic pain symptoms and is a reason for cesarean delivery.

Method: One hundred thirty-three premenopausal women admitted in a Tertiary Education and Research Hospital, Department of Gynecology unit for pregestational counseling were evaluated for pelvic pain symptoms with a self-administrated questionnaire. Uterine position was assessed by pelvic examination and transvaginal ultrasound. Sixty-one women had a retroverted uterus (group1), and seventy-two had an anteverted or intermediate uterus (group2). Dyspareunia, dysmenorrhea, weight, Body Mass Index (BMI), cyclic pain, ovulation pain, premenstrual pain and mode of delivery were compared between the Retroverted group and the Anteverted or intermediate group. After successful conception and pregnancy survey, mode of delivery was also compared.

Results: Dyspareunia, dysmenorrhea, weight, BMI, cyclic pain, ovulation pain, premenstrual pain, patients’ sexual activities restrictment due to dyspareunia, patients medical treatment requirement for dysmenorrhea, and mode of delivery was statistically significant between two groups. (p<0.05). However, PMS (premenstrual syndrome), height, gravid and parity were similar (p>0.05).

Conclusion: Uterine retroversion is associated with a higher prevalence of cesarean rate, pelvic pain and visual analogue scale for dyspareunia and dysmenorrhea in a population of unselected women.

Keywords

Cesarean, Dysmenorrhea, Dyspareunia, Uterine retroversion

Pelvik Ağrı Semptomlarında ve Sezaryen Doğumunda Uterin Retroversiyonunun Potansiyel Rolü

Abstract

Amaç: Uterin Retroversiyonu kadın popülasyonunda yaygın bir durumdur ve pelvik ağrı semptomları ile ilişkili olduğu varsayılmaktadır. Bu çalışmanın amacı, uterus retroversiyonunun pelvik ağrı semptomları ile ilişkili olup olmadığını ve sezaryen doğum nedeni olup olmadığını araştırmaktır.

Yöntem: Üçüncü Basamak Eğitim ve Araştırma Hastanesi Kadın Hastalıkları Kliniği kliniğine pregestasyonel danışmanlık için başvuran 103 premenopozal kadın, kendi kendine uygulanan anket formu ile pelvik ağrı semptomları açısından değerlendirildi. Uterin pozisyonu pelvik muayene ve transvajinal ultrason ile değerlendirildi. Altmış bir kadında uterusu retroverted (grup 1) ve yetmiş ikisinde ise ileri dönük veya orta uterus (grup 2) vardı. Retroverted grup ile Anteverted veya intermediate grup arasında disparoni, dismenore, ağırlık, Vücut Kitle İndeksi (BMI), döngüsel ağrı, yumurtlama ağrısı, adet öncesi ağrı ve doğum şekli karşılaştırıldı. Başarılı bir gebelik ve gebelik araştırmasından sonra, doğum şekli de karşılaştırıldı.

Bulgular: Disparoni, dismenore, kilo, VKİ, döngüsel ağrı, yumurtlama ağrısı, premenstrüel ağrı, disparoni nedeniyle hastaların cinsel aktivitelerinin kısıtlanması, dismenore için hastaların medikal tedavi gereksinimi ve doğum şekli iki grup arasında istatistiksel olarak anlamlıydı. (p <0.05). Bununla birlikte, PMS (adet öncesi sendrom), boy, ağırlık ve parite benzerdi (p> 0.05).

Sonuç: Uterin retroversiyonu, seçilmemiş kadınlardan oluşan bir popülasyonda daha yüksek sezaryen oranı prevalansı, pelvik ağrı ve disparoni ve dismenore için görsel analog skala ile ilişkilidir.

Keywords

Sezaryen oranı, Dismenore, Disparoni, Uterin retroversiyon

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