Gimdos kaklelio endometriozė

Gintarė Mačernytė; Guoda Žukienė; Linas Andreika

doi:10.37499/LAG.1822

Gintarė Mačernytė VU Medicinos fakultetas
Guoda Žukienė Santaros klinikų Akušerijos ir ginekologijos centras
Linas Andreika VU MF Klinikinės medicinos instituto Akušerijos ir ginekologijos centras

Keywords: endometriosis, cervix, dyspareunia, dysmenorrhea, postcoital bleeding, abnormal uterine bleeding

Abstract

Aim of the study. To review the scientific literature on the prevalence, etiopathogenesis, symptoms, diagnosis and treatment of cervical endometriosis. Methods. A literature search was conducted in PubMed, Scopus and Web of Science databases. 34 full-text articles in English, published between 2010 and 2025 on the topic of cervical endometriosis, were included. The literature was analysed and described using a narrative review approach. Results. The reported prevalence of cervical endometriosis ranges from approximately 0.2% to 2.4%. The etiopathogenesis remains unclear, with multiple theories proposed. The most characteristic symptoms include intermenstrual bleeding, postcoital bleeding, dysmenorrhea, dyspareunia and chronic pelvic/abdominal pain. Diagnosis of cervical endometriosis is based on symptoms, physical examination and imaging findings, with histological confirmation required for definitive diagnosis. Treatment strategies depend on presentation and include observation, hormonal and surgical management. Conclusions. Cervical endometriosis is a rare condition with unclear etiopathogenesis, heterogeneous clinical presentation, diagnostic and therapeutic challenges.