LATERAL CERVICAL DISPLACEMENT IS ASSOCIATED WITH ENDOMETRIOSIS

Objective: To report on a series of cases of lateral cervical displace ment and uterosacral ligament scarring associated with endometriosis. Design: Case series. Setting: Academic medical center. Patient(s): Thr ee nulliparous women with chronic pelvic pain, lateral cervical displa cement, and uterosacral nodularity. Intervention(s): Physical examinat ion to evaluate for lateral cervical displacement. Laparoscopic surger y to evaluate for endometriosis and uterosacral ligament involvement. Main Outcome Measure(s): Displacement of the entire cervix lateral to the midline of the vagina. Presence of endometriosis on the affected u terosacral ligament. Result(s): All three patients had lateral cervica l displacement and implants of endometriosis and scarring on the utero sacral ligament ipsilateral to the displaced cervix. Conclusion(s): In women with pelvic pain, lateral cervical displacement due to uterosac ral scarring may be a physical finding associated with endometriosis. (Fertil Steril(R) 1998;70:568-70. (C) 1998 by American Society for Rep roductive Medicine.).