Echo-Anatomy of the Uterus of Pubescent Girls in Lomé (Togo) and its Correlation with the Occurrence of Dysmenorrhea

Abstract

Introduction: This study aimed to examine the echo morphometry of the uterus in pubescent girls in Lomé and its potential relationship with essential dysmenorrhoea. Essential dysmenorrhoea, characterized by menstrual pain without identifiable causes, affects a significant portion of young women. Methodology: This was a preliminary, prospective, cross-sectional, descriptive, and analytical study performed over six months in the anatomy laboratory of the University of Lomé (Togo), at a teaching hospital Campus and in a school in Lomé. The study was based on a convenience sample of 100 pubescent, nulligravid pupils aged between 13 and 18 years with no pelvic surgery history. Results: Dysmenorrhea was noted in 60% of cases. No abnormality of uterine shape or structure was observed. In seven percent of cases, uterine malposition’s such as retroflection and retroversion were noted. There was a statistically significant correlation between uterine retroflection and the occurrence of dysmenorrhoea. The values of the biometric parameters tended to increase in girls with dysmenorrhoea. Conclusion: To corroborate the results of the aforementioned preliminary work, a subsequent study on the same sample using a more objective means of exploration than ultrasound is necessary. KEYWORDS: Echo-Anatomy, Uterus, Dysmenorrhoea, Lomé (Togo).