Abstract
Background
Retroperitoneal uterine leiomyoma is a very rare occurrence and to discover it as
a cause of female sexual dysfunction in a teen is unusual.
Case
An 18-year-old black woman reported deep dyspareunia, resulting in severe distress.
Gynecological and instrumental examinations showed a pelvic mass of 7 cm in diameter.
The preoperative diagnosis was uterine fibroid, but the exact location of the leiomyoma
was uncertain. Laparoscopic examination showed a pedunculated retroperitoneal cervical
leiomyoma in the left pararectal space. After surgical excision of the mass, normal
sexual activity was restored.
Summary and Conclusion
When a teen experiences pain with intercourse, pelvic masses should be part of differential
diagnosis of dyspareunia.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric and Adolescent GynecologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Female sexual dysfunction.Obstet Gynecol Clin North Am. 2009; 36: 861
- Female sexual dysfunction and adolescents.Curr Opin Obstet Gynecol. 2010; 22: 375
- Uterine fibroids and gynecologic pain symptoms in a population-based study.Fertil Steril. 2003; 80: 1488
- Uterine myomas, dyspareunia, and sexual function.Fertil Steril. 2006; 86: 1504
- Examining the relationship between uterine fibroids and dyspareunia among premenopausal women in the United States.J Sex Med. 2014; 11: 800
- Epidemiology, presentation, and management of retroperitoneal leiomyomata: systematic literature review and case report.J Minim Invasive Gynecol. 2008; 15: 152
- A rare cause of difficulty with sexual intercourse: large retroperitoneal leiomyoma.J Sex Med. 2009; 6: 3221
- AAGL practice report: morcellation during uterine tissue extraction.J Minim Invasive Gynecol. 2014; 21: 517
- Prevalence, symptoms and management of uterine fibroids: an international internet-based survey of 21,746 women.BMC Womens Health. 2012; 12: 6
Article info
Publication history
Published online: August 22, 2015
Footnotes
All authors declare no conflict of interest.
Identification
Copyright
© 2016 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
