Introduction to the normal position of the uterus

The uterus is the place where female friends give birth to life, and it is the birthplace that adds new life to our world. All mothers are great, but what is the correct position of the uterus of a great mother? Let us understand what is the normal position of the uterus. Only in the normal position can female friends truly give birth to life. That is why it is said that mothers are the greatest people in the world, so let’s take a look now.

Generally speaking, the normal position of the uterus of an adult woman is halfway in the center of the pelvis when standing, above the level of the ischial spine, adjacent to the bladder in front and the rectum behind, with the uterus tilted forward. The cervix forms an angle of 120-150° with the uterine body and is in an anteriorly bent and anteflexed position. However, the uterus may be displaced due to reasons such as relaxation of a group of ligaments that maintain the normal position of the uterus, long-term bed rest after delivery (especially supine position), pelvic inflammation, uterine body tumors, congenital maldevelopment, etc. The most common of these is retroverted uterus. Depending on the degree of retroversion of the uterus, the retroverted uterus is divided into grades I, II, and III.

Knowledge point: The normal position of the uterus.

Mild retroverted uterus (grades I-II) generally does not cause symptoms and does not require treatment. Severe retroverted uterus often causes symptoms, mainly lower back pain. In mild cases, there is only soreness and discomfort in the lower back. In severe cases, the entire waist, sacrum and coccyx, and iliac regions on both sides feel sore and uncomfortable. In some patients, the soreness and swelling extend to the lower back and groin on both sides. Lower abdominal soreness and anal distension often coexist, and symptoms are often aggravated by fatigue and menstruation. If not corrected in time, it may also lead to dysmenorrhea, irregular menstruation, increased leucorrhea, sexual discomfort, miscarriage, infertility, etc.

For patients with retroverted uterus, if the retroverted uterus has not corrected itself three months after conception, the displacement of the bladder neck and urethra and the upturned cervix may compress the posterior urethra and cause acute urinary retention.

Most cases of retroverted uterus are preventable. The key is to allow the mother to get enough rest after delivery so that the pelvic tissue can recover in time. Pay special attention to your lying posture during rest and avoid lying on your back for long periods of time. Side-lying, supine and prone positions should be rotated alternately. Starting from the third day after delivery, you can do some health exercises for the abdomen, limbs and pelvic floor muscles in bed, which will help postpartum recovery. After miscarriage or due to other reasons, pelvic infection and adhesion formation will promote the formation of retroverted uterus, so it should be treated actively as soon as possible. Strictly implement postpartum examinations and promptly correct any poor recovery of the uterus after delivery.

For patients with symptomatic retroverted uterus, the key to treatment is to reposition the uterus. Commonly used methods of uterine reduction include bimanual reduction method, triple-manual reduction method, cervical clamp traction reduction method, chest-knee supine position reduction method, and surgical reduction method. After manual reduction, the patient is required to do chest-knee position exercises 1-2 times a day after emptying the bowels and bladder, each time for 10-15 minutes. This is crucial to consolidate the effect of uterine reduction. Chest-knee position exercises can also prevent the occurrence of posterior displacement of the uterus after delivery, but they must be performed half a month after delivery. If manual reduction is unsuccessful, surgical reduction can be used. The surgical method is mainly to shorten the round ligament and change the uterus into an anteverted and anteflexed position.

Based on the above statements, female friends have a general understanding of what the normal position of the uterus is. If it is not in the correct position, it will cause harm, so female friends should take good care of themselves, pay attention to cleanliness during menstruation or at other times, and maintain good uterine and living habits. Female friends should not put so much pressure on themselves, love themselves well, I hope the above suggestions can help you.