Cervical endometriosis with bleeding facet, fistulized in the vaginal cavity, exceptionally primitive and the associated sexual dysfunctions – Cinical Case DOI: 10.37072/JCS.2022.04.02

Vasile NIȚESCU^*1, Bogdan MARINESCU², Valentin NIȚESCU ³, Alexandru RUNCANU⁴

1.Medical Center for Obstetrics-Gynecology and Sexology,
2. Clinical Hospital for Obstetrics- Gynecology”Professor Doctor Panait Sîrbu”, Calea Giulești, Bucharest, Romania;
3. Hôpital Uni- versitaire “Pitié-Salpêtrière”, Service de Chirurgie Générale, Viscérale et Endocrinienne, Faculté de Médecine, Sorbonne Université (Paris)
4.Surgery Clinic-Emergency Clinical Hospital Bucharest “Floreasca”, Romania

Abstract
The vagina is a cavity that, apart from constituting the normal way of elimination of the product of conception at birth, serves for the passage of the menstrual flow and the normal and pathological secretions of the genital organs. Also, the vagina is the way of sexual intercourse, essential for human procreation both due to the elasticity of the vaginal walls and the anatomical structure loaded with hormones and due to the presence of Gussenbauer erectile tissue.
We present the case of a 32-year-old female patient in whom the normal erotic response is no longer produced due to the pathology of the bottom of the posterior vaginal fornix, respectively due to some vaginal endometriotic nodules.
These structural alterations, as well as the reduction of sensitivity of the involved receptive vaginal cells, cause a complex of sexual dysfunctions.

These structural alterations, as well as the reduction of sensitivity of the involved receptive vaginal cells, cause a complex of sexual dys- functions.
It should be noted that the bleeding due to endometriosis starts with the first menstruation (menarche), and then repeats cyclically.
In essence, the said functional sexual anomalies are the result of the pathology determined by endometriosis, which completely modifies the copulatory act, with the profound disturbance of the biology of human procreation.
The peculiarity of this clinical case is the implantation of the endo- metrial tissue outside the uterine cavity, respectively at the level of the cervix, by those two nodes of the cervix, in this case by the left lateral one, producing vaginal hemorrhage due to its bleeding facet, a cir- cumstance that compromises sexual intercourse, which can no longer be normal.
Keywords:
fistulized extraperitoneal endometriosis nodule, sexual dysfunctions