Endometriosis physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2], Mohammed Abdelwahed M.D[3]
Overview
Examination findings on digital vaginal examination and speculum examination include a fixed retroverted uterus, palpable nodularity of the uterosacral ligaments, and cul-de-sac with narrowing of the posterior fornix.
Physical Examination
Physical examination findings in a patient with endometriosis include:[1]
HEENT
Patient may have:
Respiratory
- Decreased breath sounds and tenderness, especially on the right side (commonly present in patients with thoracic endometriosis)
Abdominal examination
- Lower abdominal tenderness
- Fixed and tender retroverted uterus (on bi-manual examination)
Digital examination of the vagina
Common physical examination findings on digital examination include:[2]
- Fixed retroverted uterus
- Nodularity of the uterosacral ligaments
- Narrowing of the posterior vaginal fornix in patients with stage 3 and stage 4 disease
- Lateral displacement of the cervix
Speculum examination of the vagina
Speculum examination may reveal:
- Lesions of endometriosis on the cervix or vagina
- Cervical displacement
References
- ↑ Cranney R, Condous G, Reid S (2017). "An update on the diagnosis, surgical management, and fertility outcomes for women with endometrioma". Acta Obstet Gynecol Scand. 96 (6): 633–643. doi:10.1111/aogs.13114. PMID 28186620.
- ↑ Vercellini P, Trespidi L, De Giorgi O, Cortesi I, Parazzini F, Crosignani PG (1996). "Endometriosis and pelvic pain: relation to disease stage and localization". Fertil Steril. 65 (2): 299–304. PMID 8566252.