What does posterior uterus mean?

Many women have been unable to get pregnant for many years after marriage. After examination, it was found that it was due to retroverted uterus. Mild retroverted uterus does not affect fertility. Only women with severe retroverted uterus will have difficulty getting pregnant, and it will also be accompanied by other diseases, such as frequent low back pain. But what does moderately retroverted uterus mean? In fact, it is the position of the uterus. If the degree of retroversion of the uterus is too large, treatment is required.

Clinical symptoms

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

Clinical treatment

Mild retroverted uterus is generally asymptomatic, but severe cases will cause pelvic congestion, menorrhagia, difficulty in menstrual blood discharge, excessive vaginal discharge, lower abdominal pain, back pain, anal swelling and other symptoms. Some women even experience pain or discomfort during sexual intercourse.

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.