Bend of the uterus: causes, symptoms, diagnosis of displacement, treatment and consequences

There are 2 types of retroflexion:

Fixed - characterized by a complete lack of organ mobility, sometimes partial. Straightening the uterus during examination is accompanied by pain. Fixed retroflexion occurs with tumors and inflammation.
Mobile - characterized by the absence of severe symptoms. This type of pathology can only be determined upon examination. It is formed when the ligamentous-muscular apparatus of this zone is stretched. It is more often observed in patients with an asthenic constitution.

Bend of the uterus - what is it?

Identifying this problem will help answer the question. When bending, the angle between the uterus and its cervix changes. What does a curvature of the uterus look like? It seems that the organ is bent towards the spine.

Many women live with this all their lives and do not experience discomfort. However, for some it can cause serious consequences.

One of the names for this change is uterine retroversion or retroflexion.

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Types of pathology and causes

With retroversion, the uterus bends backward, towards the spine.

There are two types of changes:

mobile;
fixed.

Both forms can be congenital or developed. The reason for the development of the mobile type can be:

sudden weight loss;
prolonged bed rest during illness;
decreased muscle tone;
injuries.

A fixed uterine inflexion may develop. The reason for this is inflammatory processes.

Symptoms of a bent uterus. How to determine?

Symptoms with a mobile bend may be completely absent and you can only find out about this problem with the help of an ultrasound.

With a fixed type of disease, the consequences of a bent uterus can be as follows:

pulling feeling in the lower abdomen;
pain;
menstruation disorders;
presence of white discharge;
frequent urination;
painful sensations during sexual intercourse.

If the cervix is bent for a long time, problems may occur in the form of prolapse and prolapse.

Symptoms

Photo: mymammy.info
A slight bend of the uterus often does not manifest itself clinically, so the woman is not even aware of the problem for a long time. However, with a serious deviation of the location of the uterus from normal indicators, some disturbing symptoms are observed. The most common symptoms include:

menstrual disorder, manifested by heavy bleeding during menstruation, which is accompanied by severe pain. In addition, before the onset of menstruation, prolonged vaginal discharge of a spotting nature is observed;
feeling of discomfort or pain during sexual intercourse;
miscarriage;
infertility;
in some cases, there is a disorder of stool in the form of constipation, the appearance of which is caused by compression of the rectum, which acts as an obstacle to bowel movement.

The combination of uterine flexion and rotation leads to compression of the fallopian tubes, which leads to severe pain in the pelvic area. The pain is usually aching in nature. In rare cases, there are complaints of pain radiating to the rectum or lumbar spine. Pain in most cases occurs after a long walk, during a sudden change in body position, or lifting weights.

Treatment and diagnosis of the disease

Identification and confirmation of the diagnosis takes place through a gynecological examination, ultrasound, MRI and CT. If the diagnosis is confirmed, women begin to think about how to correct the curvature of the uterus.

In case of congenital or mobile retroflexion, the gynecologist will prescribe monitoring of the deviation, avoiding heavy lifting, and performing special exercises to strengthen the muscles and ligaments.

If the reason for contacting a gynecologist was the manifestation of various symptoms, and the examination revealed a defect, then the following actions may be:

eliminating the cause of the bend;
massage;
insertion of instruments (pessaries) into the vagina to hold the uterus in the desired position.

If the changes are caused by inflammatory processes or adhesions, the following is prescribed:

anti-inflammatory drugs;
vitamins to maintain tone;
medications that remove adhesions.

Classification

Several forms of abnormal location of this organ in the pelvis are determined:

Retroflexion is a posterior inversion of the uterus when this organ is tilted towards the rectum. This type of inversion occurs most often.
Anteflexion - the organ deviates slightly towards the bladder. Consequently, an obtuse angle is formed between the vagina and the uterus. This often happens in women who have not yet given birth, and is considered a normal situation. As a rule, after childbirth the position of the organs becomes correct.
Anteversion - with this type of pathology, there is a curvature of the cervix towards the bladder.
Hyperanteflexion - in this situation, the angle between the neck and the body of the organ decreases significantly.
Leteroflexion - the organ bends towards the ovary.

This organ can also rotate around its axis. Then we are talking about a twisted uterus.

According to statistics, every fifth woman has a similar pathology of various types. As a rule, most often - in about 70% of cases - a forward or backward bend is observed.

Any of the conditions described above requires medical supervision and periodic examinations. This is especially true for women who are trying to get pregnant.

Is pregnancy possible with retroflexion?

Women often wonder: what is the likelihood of getting pregnant if the uterus is bent? If the curvature is not severe, then there will be no problems with conception.

If the problem is severe, the sperm simply will not enter the uterus, but will leak out. If the cause is adhesions, this can develop into obstruction or narrowing of the tubes, which entails a risk of infertility.

How can you get pregnant if your uterus is bent? First you need to eliminate the cause of its occurrence. All inflammatory processes must be cured, and physical therapy, massage or exercises will help get rid of adhesions.

Description

A bent uterus is a common gynecological pathology in which a woman’s uterus is positioned non-standardly in relation to other organs. According to statistics, uterine bending is present to one degree or another in 25% of women. Normally, the uterus should be located deep in the pelvis right in the middle and parallel to the vagina. Thanks to this arrangement of internal organs, sperm easily enters the uterus. That is why women with a bent uterus often suffer from infertility.

Causes of pathology

The most common causes of a bent uterus are:

Individual structural features of the body. In this case, the bend of the uterus is not a deviation. Women who have had a bent uterus since birth should not worry. In this case, it will not affect well-being and reproductive function.
Various inflammatory diseases of the uterus, ovaries, and urinary organs.
Severe stress.
Weakening of the muscles and/or ligaments of the pelvic floor.
Diseases of the rectum.
Tumors of the reproductive system.
Abdominal injuries.
Injuries received during childbirth, improper postpartum behavior of a woman.
Severe weight loss in a short period of time.
Hard physical work.

At the moment, there is a widespread myth among young mothers that a bend of the uterus in children can occur if they are started to sit on their butts too early. In fact, the position of the child’s body in space has absolutely no effect on the nature of the location of the uterus in the pelvis. Therefore, if a child tries to sit down on his own, you should not interfere with this. This will not affect his reproductive abilities in the future.

Classification of uterine bends

During the examination, the gynecologist can detect various variations in the abnormal location of the uterus in the pelvis. There are the following forms of uterine bends:

Retroflexion (uterus posterior). In this case, the uterus tilts towards the woman's rectum. This is the most common type of uterine flexion.
Anteflexion is a slight deviation of the organ towards the bladder. Thus, the uterus and vagina together form an obtuse angle. This bend occurs in patients who have never given birth and is considered a normal variant. In most cases, after childbirth, the uterus returns to its correct position.
Leteroflexion is the bending of an organ towards one of the ovaries.
Anteversion. In this case, not only the uterus, but also its cervix tilts towards the bladder.

In addition to various inclinations of the uterus, doctors often also diagnose its rotations along its axis. In this case, the uterus becomes twisted.

Deflection of the uterus and pregnancy, childbirth

Quite often, when the uterus is bent (especially if it was caused by inflammatory diseases), a woman may develop infertility. Moreover, the cause of infertility in this case is not so much the bend itself, as the adhesive process formed as a result of inflammation. This is explained by the fact that with this pathology, the cervix rests against the walls of the vagina and does not come into contact with sperm. In this case, women often experience obstruction and narrowing of the fallopian tubes. If the bend of the uterus was not caused by inflammation, then the woman will be able to get pregnant without any problems. The curvature of the uterus does not affect the process of childbirth in any way. In general, a bent uterus does not cause any complications, unless, of course, it was caused by any diseases. Often it has no effect on well-being and women are not even aware of its presence. However, the bend of the uterus, which has developed due to inflammation, requires mandatory treatment. In this case, you will need the help of a gynecologist, proctologist, endocrinologist, neurologist, nutritionist, and also a surgeon.

Comparison of treatment methods

To cure a bent uterus, gynecologists offer several treatment options. The most commonly prescribed are:

gynecological massages;
physiotherapy;
physical therapy (physical therapy).

Indicators for comparison	Massage	Exercise therapy	Physiotherapy
Duration of treatment	From 10 to 60 procedures, depending on the diagnosis	Until the desired result is achieved, in the absence of any discomfort or contraindications.	The course of treatment is prescribed individually by the gynecologist, depending on the diagnosis.
Efficiency of the procedure	It is considered the most effective procedure. When undergoing it, doctors recommend using protection, as there is a risk of ectopic pregnancy.	Excellent for treating and preventing uterine flexion and for eliminating adhesions	The benefit of this procedure is that it can help avoid the use of medications.
Visiting hospitals	Massages are performed exclusively by a gynecologist	You can do the exercises at home on your own, but you should consult your doctor before doing so.	Physiotherapy is prescribed by a doctor, all procedures must take place in the hospital under supervision
Execution frequency	A course of massages is performed daily. The first procedure lasts no more than 3 – 4 minutes, further visits are prescribed by the doctor	Depending on the number and type of exercises, the procedure takes on average 15 minutes. Doing exercises daily	The course of therapy is prescribed by the doctor individually. Visits may be daily

The main task for the doctor is to eliminate the cause of the deviation. You need to be prepared for the fact that the treatment will be complex and combine several techniques.

Clinical and laboratory examination includes

consultation with a gynecologist;
3D ultrasound of the pelvis;
extended colposcopy;
microscopic examination of smears for flora from the vagina, cervical canal and cervix;
cytological examination of smears and scrapings from the cervical canal and cervix.

You can perform the necessary examination at your place of residence or in our Clinic by appointment.

The examination results are valid for 6 months from the date of completion in the absence of a change of sexual partner.

Treatment with drugs

How to treat a bent uterus with medications is not a completely correct question. This problem does not arise on its own, so the diseases that caused it are treated.

For inflammation, antibacterial agents are prescribed. The choice of medications is made by the attending physician; generally, broad-spectrum antibiotics are prescribed. When using them, you must follow all the instructions and recommendations of the gynecologist, and in no case self-medicate.

For general strengthening of the body, vitamin complexes are prescribed. In the world of pharmaceuticals there is a huge selection of complexes. You should choose vitamins for women, as they contain all the necessary minerals and elements.

Prevention

For the purpose of prevention, it is important to visit a gynecologist every six months and undergo an examination.
It is very important to promptly treat all inflammatory and infectious diseases of the pelvic organs.
Regularly do the gymnastics described above, as well as other exercises - “scissors”, “bicycle”, etc.
Heavy lifting and excessively strenuous exercise should be avoided.
You should not wear shoes with very high heels, as this can lead to a displacement of the body axis and increased bending.

Traditional recipes for treatment

The problem of retroflexion occurs when there are disorders in the female genital organs. There are many recipes in folk remedies. Let's look at some of them.

Anti-inflammatory infusion:

chamomile - 1 tbsp. spoon;
sweet clover herb – 1 tbsp. spoon;
marshmallow leaves - 2 tbsp. spoons.

Pour one tablespoon of the mixture into one glass of boiling water and let it brew under the lid for 10 minutes. This infusion is taken twice a day, ¼ cup, and used to wash the genitals.