What is a woman's uterine bend? This is a common question. We will examine in more detail in it.
The bend of the uterus is an incorrect location of the organ in the pelvis. Pathology can be either acquired or congenital. In most cases, the bending of the uterus does not require any specific measures and treatment, and after delivery it passes on its own. However, in some cases, pathology can become an obstacle to the conception of a child.
The reasons for the bending of the uterus will be considered in this article.
Anatomy
This is the name of the pathology, which is manifested by deviations in the position of the organ from its normal axis. In a normal state, from the anatomical point of view, the location of the uterus should form an obtuse angle with respect to the organs of the small pelvis. If the angle is bent, it means the presence of pathology.
The causes of uterine bending can be different, there are both congenital and acquired pathologies with age. Depending on the offset angle, this pathology has different names: bending posteriorly, anteriorly, backward, inflection and retroflexion of the uterus. The posteriorly oriented bend, shifted towards the rectum, is the most common type and is more common than the anterior bend.
Different positions of the uterus
The bend of the uterine neck leads to a change in the angle between it and the uterine bottom, which leads to the following situations:
- Bending back or retroflexion. An acute angle is formed towards the rectum and spine.
- Bending anterior or hyperanteflexion and anteversion. It is a deep inflection.
- Lateroflexia is the rotation of the uterus away from the axis towards the ovaries.
Quite often in medical practice there is uterine retroflexion. Bends back, front, or to the sides can appear for various reasons throughout life. In the presence of adhesions, the following types of bend are distinguished:
- Fixed, it is formed, as a rule, in women who have suffered inflammation of the pelvic organs.
- Partially mobile or mobile. It develops against the background of a sharp decrease in weight, childbirth, prolonged illness and staying in bed, a decrease in uterine tone, atrophy (typical for women in old age).
Bending as a pathology that needs to be treated is perceived only in case of deviation posteriorly and sideways. Deviation anteriorly is not considered pathology.
So, what are the causes of uterine bending?
Causes and Complications
Uterine deformity, as mentioned above, is acquired and congenital. In this case, a congenital form of pathology is most often detected during examination by a gynecologist. Bending of the uterus can develop in the prenatal period if a woman suffered a catarrhal disease of an infectious nature at the time when the formation of the organs of the reproductive system of the fetus, that is, in the first trimester.
Bending the uterus in a congenital form can disappear naturally after childbirth, therefore, having heard a similar diagnosis, parents should not panic. In this case, pathology is an individual feature of a particular organism.
The position of the uterus can also undergo changes if it is affected by nearby abdominal organs. The body of the uterus at the same time tends to bend and bend. In nulliparous girls, gynecologists quite often observe a deviation of the uterus posteriorly. During pregnancy, the uterine bend straightens.
If retroflection is acquired, then the doctor should study all the adverse factors that could lead to this phenomenon. The most common causes of uterine bending are:
- Individual anatomical features.
- Hormone hormone failure.
- Adhesions and scars as a result of surgical intervention.
- Injuries to the abdominal organs, as well as the obstetric consequences of childbirth and frequent abortions.
- Stay in chronic stress.
- A sharp decrease in body weight as a result of poor nutrition or excessive physical exertion.
- Inflammatory processes and infectious diseases, such as endometriosis, as well as cancerous tumors.
- Reduced abdominal muscle tone.
- Underdevelopment of the female reproductive system.
Bends also occur as a result of a long inflammatory process in the organs of the reproductive system, as well as the lack of timely treatment. Quite often, the ailment occurs due to the presence of adhesions after surgery.
The causes and consequences of bending the uterus are often interrelated.
Symptomatology
As such, there are no direct signs indicating the presence of pathology. In some cases, a woman may complain about the following points:
- Irregular and painful menstruation. Especially common in adolescence.
- White discharge of unknown origin, appearing between menstruation.
- Discomfort and pain during intercourse.
- Inability to conceive a child.
- Soreness when urinating.
- Frequent intestinal disorders against a background of normal nutrition.
All these symptoms of bending the uterus indirectly indicate the presence of retroversion and suggest a medical examination by a gynecologist. If the bend of the uterus leads to discomfort in everyday life, then the specialist prescribes appropriate treatment, including procedures aimed at relieving unpleasant symptoms.
In the vast majority of cases, however, the bending of the uterus is not felt by women and does not affect the quality of their life. Pathology does not cause discomfort during sexual contact and can be manifested only by pulling sensations in the lower abdomen, most often taken by a woman for premenstrual syndrome. However, such a symptom requires contacting a gynecologist, which will help to avoid unpleasant consequences in the future. For example, complicate the conception of a child with a bend of the uterus.
Infertility
The main danger that a woman presents with pathology is the inability to conceive a child, that is, infertility. Also, the bend can lead to the prolapse of the walls of the uterus, which will cause its loss or, in the worst case, amputation.
Treatment for bending the uterus should be timely.
Diagnostics
Uterine retroflexion is detected using a minimum number of diagnostic methods. In addition to the gynecological examination using the bimanual method, by which the presence of pathology and the degree of deviation from the norm are detected, an ultrasound is also performed when the uterus is bent, which allows you to determine the presence of a scar or adhesions that has arisen after surgery and inflammation.
Treatment
Treatment is carried out only in cases where the pathology interferes with the conception process. To do this, it is necessary to precisely establish with the help of laboratory and instrumental methods that it is the bending of the uterus that prevents the conception process. As mentioned above, a forward bend is not considered a deviation from the norm and does not need treatment. The back bend is treated taking into account age, individual characteristics, and also if it was caused by commissures. The following therapeutic methods are used:
- Anti-inflammatory drugs. It can be sulfanilamide and antibacterial drugs that eliminate harmful microorganisms.
- Vitamin and hormone therapy. It is aimed at maintaining the body in good shape.
- Physiotherapeutic treatment. Includes electrical procedures, exercise therapy, mud therapy, gynecological massage, etc.
Recommendations
In addition to physiotherapy and drug therapy, when bending the uterus for prophylactic purposes, the following is recommended:
- The alternation of work and rest, as well as positive emotions.
- Training intimate muscles, for example using the Kegel technique.
- Reducing the intensity of physical activity on the lower body, refusal to lift heavy objects.
- Prevent the appearance of a bend will help timely urination and defecation.
- Performing special gymnastics. It will also be useful to do oriental dancing or Pilates.
Operation
Surgical intervention may be required if the pathology was caused by cancerous tumors or adhesions in the pelvic organs. Along with the removal of the tumor, the position of the uterus is leveled, and adhesions and inflammations are removed. Laparoscopic methods are also used.
Some gynecologists to correct the bend suggest that patients wear a special gynecological ring called a pessary. This device is a plastic ring that is inserted into the vagina. It is often used to prevent preterm labor.
Uterine bending and pregnancy
The possibility of pregnancy is the main issue in women with a similar pathology. At the stage of confirming the diagnosis, it is necessary to find out whether the anatomical pathology really affects the passage of spermatozoa to the egg.
When planning a pregnancy, a woman needs to undergo all the necessary measures, because otherwise the uterine bend can cause a miscarriage and other complications. Of great importance in conception with the bend of the uterus is the chosen sexual position. For example, when bending the uterus posteriorly to a pair, it is necessary to choose a knee-elbow position or on the abdomen with a raised pelvis. The uterus in these positions is in a normal position, which contributes to conception.
In addition, it is important to have sex on ovulation days after several days of abstinence. At the same time, more sperm are secreted than during regular intimate relationships.
Bending the uterus and pregnancy is a sore point for many women.
After intercourse, experts recommend lying quietly for a while or doing a birch exercise by lifting your legs up. It should be borne in mind that if the bend is right-handed, then the position for sexual intercourse should be chosen on the right side.
Thus, a bend per se is not dangerous for a woman. It is worth worrying if pregnancy does not occur for a long time. In other circumstances, this diagnosis does not affect the condition of the woman. Many women who have already given birth do not even suspect that they have this pathology. The bend of the uterus and childbirth are not connected in any way.
Prevention
To avoid the development of pathologies in the female reproductive system, one should carefully monitor the nature and period of the onset of menstruation as early as adolescence. If menstruation is very painful, then you need to consult a gynecologist. A similar symptom may indicate an uterine inflection when the bend interferes with normal blood flow.
Women who want to conceive a child need to follow a lifestyle, give up bad habits, exercise moderately, eat right, take vitamins several times a year, and also avoid stressful situations. Power loads in sports are undesirable.
When the bend is cured, you need to be careful about your own health, to exclude heavy physical exertion and emotional shocks. It is advisable to undergo spa treatment once a year and be regularly examined by a gynecologist.
We examined the causes and consequences of bending the uterus.