What does an enlarged uterus mean?

During the examination, women often find that it says "the uterus is normally enlarged", or "the uterus is anteriorly positioned median", etc. If the uterus is simply normally enlarged, it proves that the uterus is relatively normal. However, if words such as "the uterus is retroverted" appear, you should pay attention. The retroverted uterus has a greater impact on women and can easily lead to difficulty in conceiving, and even cause an increase in leucorrhea, resulting in sexual dysfunction, and even miscarriage.

The position of a woman's uterus in the pelvic cavity can be divided into anterior uterus, median uterus and posterior uterus. Under normal circumstances, the uterus is in an anteverted, anteflexed position. Anteversion: refers to the entire uterus tilting forward. Anteflexion: refers to the angle between the longitudinal axis of the uterus and the longitudinal axis of the cervix and vagina being less than 90 degrees.

When the uterus falls backwards towards the rectum, it is called retroverted uterus. There are two types of retroverted uterus: retroverted uterus and retroflexed uterus. When the longitudinal axis of the uterus remains unchanged and the entire uterus tilts backwards, it is called a retroverted uterus. When the uterus is tilted backwards and the junction of the uterine body and the cervix forms an acute angle, it is called a retroverted and retroflexed uterus. The former is more common, the latter is less common. Common causes are ligament relaxation, pelvic diaphragm and broad ligament bottom damage caused by multiple deliveries.

An anterior uterus will not have any impact on women, and a posterior uterus generally will not affect sexual life, but a posterior uterus may affect pregnancy. Mild retroverted uterus 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, while in severe cases, the entire waist, sacrum and coccyx, and iliac areas 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.