Koninckx P R, Renaer M
Department of Obstetrics-Gynaecology, University Hospital Gasthuisberg, K.U. Leuven, Belgium.
Hum Reprod. 1997 Aug;12(8):1785-8. doi: 10.1093/humrep/12.8.1785.
The aim of this study was to determine the sensitivity and the localization of pain from the internal female genital organs. In 28 women undergoing a ring sterilization, the internal genital organs were pinched with a 3 mm forceps and the pain sensitivity and localization were recorded. Pain localization was vague, and pinching of the medial and distal end of the oviduct, or of the anterior, posterior or left or right uterosacral ligament could not be discriminated. The sensitivity of the pouch of Douglas and of the uterosacrals was greater than of the oviduct, uterus or ovaries. Small typical endometriotic lesions were specifically more painful. The pain from the uterus was felt mainly in the hypogastric region. The oviducts and ovaries radiated mainly to the iliac fossa, whereas pain stimulation of the uterosacrals and pouch of Douglas was felt predominantly in the perineal-perivulvar-perianal region. Radiation to the lower back was rare and never occurred in isolation.
本研究的目的是确定女性内生殖器疼痛的敏感性和定位。在28名接受节育环绝育术的女性中，用3毫米的镊子夹捏内生殖器，并记录疼痛敏感性和定位。疼痛定位模糊，无法区分输卵管的内侧和远端、子宫骶韧带的前、后、左或右被夹捏时的情况。Douglas陷凹和子宫骶韧带的敏感性高于输卵管、子宫或卵巢。典型的小子宫内膜异位病变特别疼痛。子宫疼痛主要在耻骨上区感觉到。输卵管和卵巢的疼痛主要放射至髂窝，而子宫骶韧带和Douglas陷凹的疼痛刺激主要在会阴-外阴周围-肛门周围区域感觉到。放射至下背部的情况很少见，且从未单独出现过。
