How does a retroverted uterus reset itself?

Retroverted uterus is a common uterine problem in women. Retroverted uterus can easily lead to uterine ectopic and cause the cervix to tilt upward. Retroverted uterus can easily lead to low back pain or discomfort, miscarriage, and irregular menstruation. Mild retroverted uterus can reset itself and can usually be corrected through massage or surgical treatment.

Mainly using chest-knee supine position reduction method, surgery

Reset method, etc. 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. Generally does not affect

Sexual life, but it will affect pregnancy.

Clinical manifestations

Depending on the degree of retroversion of the uterus, the retroverted uterus is divided into grades I, II, and III.

1. Mild retroverted uterus (grade I-II)

Usually there are no symptoms and no treatment is needed.

2. Severe retroverted uterus (grade III)

Symptoms often occur, mainly low 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.

1. Gynecological examination

During the bimanual examination, the fingers are placed on the posterior fornix in the vagina, and the hand placed on the abdominal wall applies deep pressure, touching only the anterior wall of the uterine body. The fingers in the vagina can only touch the posterior wall of the uterine body.

Grade I: The fundus of the uterus points to the sacral promontory, and during bimanual examination, the abdominal fingers can only touch the anterior wall of the uterus.

Grade II: The fundus of the uterus points to the sacral concave, and during bimanual examination, the fingers in the vagina can only touch the posterior wall of the uterus.

Grade III: The fundus of the uterus is inverted in the rectouterine pouch. During bimanual examination, the finger in the vagina can only touch the fundus of the uterus at the posterior fornix, which is clearer during triple examination.

2. Auxiliary examination

B-ultrasound examination can determine the position of the uterus.

treat

A retroverted uterus usually does not require treatment. Some patients with other gynecological diseases and symptomatic retroverted uterus should be treated for related gynecological diseases.

prevention

1. Retroverted uterus can be prevented in most women. 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.

2. Develop the habit of urinating and defecating on time, do not overfill the bladder, and do not increase abdominal pressure due to habitual constipation.

3. Pay attention to physical exercise to strengthen the tension of the ligaments and pelvic floor muscles in the pelvic cavity, and try not to loosen them.

4. Because coughing will cause downward force and increase abdominal pressure, you should actively prevent and treat diseases such as chronic bronchitis.

The woman can place a cushion or small pillow of appropriate thickness under her buttocks to raise her buttocks so that the ejaculated semen will be concentrated on the posterior fornix of the vagina. She should then stay in bed with her buttocks raised for 20 to 30 minutes. This allows sperm to enter the uterine cavity more easily and increases the chance of conception.