Evaluation of hysteroscopy as a complementary exam in the investigation of chronic pelvic pain.

In: Journal of Health & Biological Sciences · 2013 · vol. 1(3) , pp. 105 · doi:10.12662/2317-3076jhbs.v1i3.29.p105.2013 · W1969159524
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AI-generated summary by claude@2026-07, 2026-07-09

Hysteroscopy identified pathological conditions of the cervix and uterine cavity in 99 of 191 women with chronic pelvic pain, with cervical stenosis and adenomyosis being the most frequent findings.

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This retrospective study evaluated hysteroscopy as a complementary diagnostic examination for chronic pelvic pain by reviewing 191 women’s medical records who had an indication to undergo hysteroscopy. Abnormal findings were present in 99 patients, and in more than 70% of those cases the detected conditions were considered potentially capable of causing chronic pelvic pain. The most frequent findings were cervical stenosis and features suggestive of adenomyosis. This paper directly relates to adenomyosis in the context of chronic pelvic pain, since adenomyosis-suggestive hysteroscopic findings were among the most common abnormalities.

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Abstract

Introduction: Chronic pelvic pain (CPP) is a difficult condition to identify and many disorders are correlated. This study investigates the role of hysteroscopy as a complementary exam in the diagnosis of CPP. Methods: One hundred ninety-one medical records of women with indication to perform a hysteroscopy and presented CPP were reviewed. Results: The analysis showed abnormalities in 99 patients. Of these, more than 70% presented conditions that could cause CPP. Cervical stenosis and findings suggestive of adenomyosis were the most frequent ocurrences. Conclusions: Hysteroscopy is useful to detect pathological conditions of the cervix and uterine cavity that may coexist with chronic pelvic pain.
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Evaluation of hysteroscopy as a complementary exam in the investigation of chronic pelvic pain. DOI: https://doi.org/10.12662/2317-3076jhbs.v1i3.29.p105.2013Palavras-chave: Pelvic Pain, Hysteroscopy, Diagnosis, Diagnostic Techniques, Obstetrical and GynecologicalResumo Introduction: Chronic pelvic pain (CPP) is a difficult condition to identify and many disorders are correlated. This study investigates the role of hysteroscopy as a complementary exam in the diagnosis of CPP. Methods: One hundred ninety-one medical records of women with indication to perform a hysteroscopy and presented CPP were reviewed. Results: The analysis showed abnormalities in 99 patients. Of these, more than 70% presented conditions that could cause CPP. Cervical stenosis and findings suggestive of adenomyosis were the most frequent ocurrences. Conclusions: Hysteroscopy is useful to detect pathological conditions of the cervix and uterine cavity that may coexist with chronic pelvic pain. Downloads Downloads Publicado Como Citar Edição Seção Licença Copyright (c) 2013 Bruno Hállan Meneses Dias, Ana Carolina Rodrigues de Andrade, Angélica Maria Holanda Pascoal da Silva, Francisco Eugênio de Vasconcelos Filho, Jordana Parente Paiva, Francisco das Chagas Medeiros Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial 4.0 International License.

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adenomyosischronic_pelvic_pain

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