Mobile uterine retroversion is associated with dyspareunia and dysmenorrhea in an unselected population of women

ObjectiveTo determine if isolated retroversion is a cause of pelvic pain symptoms.Study designOne 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.ResultsTwenty-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.ConclusionMobile uterine retroversion is associated with dyspareunia and dysmenorrhea in a population of unselected women.