Uterosacral Ligament
The uterosacral ligaments are two bands of tissue that run from the back of the uterus toward the sacrum, the bone at the base of the spine. They anchor in the connective tissue near the sacrum rather than in the bone itself. They help hold the uterus in place, and pelvic nerves travel beside them.
They are a common home for deep endometriosis. In a surgical series of 1,785 patients, the uterosacral ligaments were involved in about half of cases.1 Period pain, deep pain with intercourse and lasting pelvic pain all point here.
Removing it works. Among 36 women treated for deep uterosacral disease, period pain improved in 89.7 percent of those who had it, and deep pain with intercourse in 92.3 percent, at a year or more after surgery.2
Cited in this entry
- Hilgers TW. Chapter 42: Endometriosis and Effects on Fertility. The Medical and Surgical Practice of NaProTECHNOLOGY. 2004. https://rrmacademy.org/library/chapter-42-endometriosis-and-effects-on-fertility-recz3srqwy7jyrgoa/
- Chapron C, Dubuisson JB, Tardif D, Decoret E. Retroperitoneal endometriosis infiltrating the utero-sacral ligaments. Technique and results of laparoscopic surgery. Journal de gynecologie, obstetrique et biologie de la reproduction. 1997. https://pubmed.ncbi.nlm.nih.gov/9265047/
This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.
