Cervical endometriosis: a diagnostic and management dilemma

Saurabh V Phadnis, Saurabh Phadnis, Phadnis SV, Jagruti S. Doshi, Doshi JS, Ogunnaike O, Oluyemisi Ogunnaike, Oluyemisi O. Ogunnaike, A. Coady, Coady A, Andrew Coady, Malcolm Padwick, Padwick M, F. A. Sanusi, Sanusi FA
Archives of gynecology and obstetrics · 2005 · vol. 272(4) , pp. 289–293 · doi:10.1007/s00404-005-0006-1 · PMID:16021490 · W2034943793
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-12 ⓘ

Cervical endometriosis, a benign condition potentially causing bleeding or found incidentally, is diagnosed via colposcopy and biopsy, with management ranging from observation to surgical excision.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper studied cervical endometriosis in a case series of five patients with histology-confirmed disease, examining symptom patterns and the diagnostic role of colposcopy and cervical biopsy. Patients reported persistent postcoital bleeding, intermenstrual bleeding, or both, and one patient was asymptomatic aside from a mass found on examination. The authors found that persistence of symptoms determined management, with most patients undergoing surgical treatment using LLETZ, while expectant management was used in at least one asymptomatic case. A key limitation is the very small, retrospective nature of the series, with findings based on only five confirmed cases. This paper is centrally about endometriosis — specifically cervical endometriosis as a diagnostic and management dilemma involving symptoms, colposcopy, biopsy, and treatment decisions.

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Abstract

Cervical endometriosis is usually a retrospective finding on histology. We describe the diverse symptomatology of the disease, wherein a suspicion of diagnosis may be raised. A series of five patients with cervical endometriosis confirmed on histology was identified. One patient was asymptomatic but examination revealed a mass arising from the cervix. Two patients presented with persistent postcoital bleeding, one patient with intermenstrual bleeding and one patient with both intermenstrual and postcoital bleeding. All patients were followed up with colposcopy and cervical biopsy. Persistence of symptoms determined the mode of treatment which included surgical management in the form of large loop excision of the transformation zone (LLETZ) biopsy in four patients. Cervical endometriosis is a benign condition which may present with symptoms such as persistent post-coital bleeding or intermenstrual bleeding. Colposcopy and cervical biopsy are pivotal to the diagnosis. This condition can be managed expectantly in asymptomatic patients and persistent symptoms may warrant surgery.
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Abstract

Cervical endometriosis is usually a retrospective finding on histology. We describe the diverse symptomatology of the disease, wherein a suspicion of diagnosis may be raised. A series of five patients with cervical endometriosis confirmed on histology was identified. One patient was asymptomatic but examination revealed a mass arising from the cervix. Two patients presented with persistent postcoital bleeding, one patient with intermenstrual bleeding and one patient with both intermenstrual and postcoital bleeding. All patients were followed up with colposcopy and cervical biopsy. Persistence of symptoms determined the mode of treatment which included surgical management in the form of large loop excision of the transformation zone (LLETZ) biopsy in four patients. Cervical endometriosis is a benign condition which may present with symptoms such as persistent post-coital bleeding or intermenstrual bleeding. Colposcopy and cervical biopsy are pivotal to the diagnosis. This condition can be managed expectantly in asymptomatic patients and persistent symptoms may warrant surgery. Similar content being viewed by others

References

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Uterine Cervical Diseases Adult Biopsy Colposcopy Endometriosis Endometriosis Endometriosis Female Histocytochemistry Humans Middle Aged Uterine Cervical Diseases Uterine Cervical Diseases Uterine Cervical Diseases Vaginal Smears

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