Presentation
We present a case of an intrauterine device found in the omentum of a 30-year-old white postpartum woman with a significantly retroverted uterus after the intrauterine device threads were not visualized on speculum examination during a 6-week placement [ncbi.nlm.nih.gov]
In the vast majority of cases they would have no awareness of this and it would present no symptoms and no problems for their sex lives, menstrual cycle or fertility. [netdoctor.co.uk]
The uterus significantly grows in volume before menses. ( source ) And can be even heavier when fibroids or adenomyosis is present. [alignmentmonkey.nurturance.net]
Entire Body System
- Pain
Indeed, the only consistent association has been with painful intercourse, especially in certain positions. [news-medical.net]
My doctor told me that it may cause painful sex. Now I'm worried. I'm 19, a virgin and feeling depressed that sex may always be painful for me. I have always had very painful periods. What can I do to reduce the pain involved with sex? First, relax. [healthywomen.org]
Retroverted uterus is found in 20% of women and gynaecological problems such as painful periods, pain during sex and pelvic pain are extremely common. [2womenshealth.com]
I am still having pain. I have a retroverted uterus, but that did not cause pain before. Also, I am always well lubricated, but the pain still results. Moreover, I had a negative pap smear, and I am negative for STDs, I do not have a current UTI. [healthquestions.medhelp.org]
- Infertility
Renee Hanton is ConceiveEasy's Senior Physician with expertise in the diagnosis and treatment of infertility. Dr. Hanton specializes in the endocrine causes of infertility, such as polycystic ovary syndrome (PCOS) [conceiveeasy.com]
Effect of retroverted uterus on pregnancy Infertility and Abortion – the retroverted gravid uterus has a contributory role in infertility and abortion. [medicineinanswers.com]
[…] of infertility (years; mean ± SD) 7.2 ± 5.4 6.5 ± 4.8 Cause of infertility (%) Tubal 165 (33.1) 109 (35.4) Male 214 (42.9) 124 (40.3) PCOS 92 (18.4) 54 (17.5) Unexplained 28 (5.6) 21 (6.8) Embryology events: Fertilization rate (%) 72.6 71.4 Cleavage [academic.oup.com]
– Patient: refuse, unfit, or has contraindications to operations – Certain cases of infertility when other causes were excluded 12. [slideshare.net]
Tipped uterus can only be the cause of infertility, if other reasons for infertility have been ruled out. [healthylifemed.com]
- Inflammation
They found fractured tailbone and then no fractured tailbone then masses in my sacrum, then just inflammation in my sacrum, then inflammation in my illiosacral joints. To no avail, nothing was found. [coccyx.org]
It may be caused by inflammations, endometriosis, inflammatory pelvic disease, tumours, menopause, pelvic surgeries, labours, or abortions. [invitra.com]
These adhesions or bands of scar tissue are a result of inflammation. [news-medical.net]
I faradize every woman even when under an acute attack of inflammation, observing, however, the following practical conditions. a. [books.google.ro]
It also can cause inflammation and cause the body to form scar tissue and adhesions, tissue that sometimes binds organs together. This scar tissue may cause pelvic pain and make it hard for women to get pregnant. [mymemory.translated.net]
- Surgical Procedure
Your physician may recommend a uterine suspension, a surgically procedure to reposition your uterus if you experience pain during menstruation or intercourse. Speak with your physician about your treatment options. [livestrong.com]
A disease such as a fibroid tumor, endometriosis, and pelvic adhesions from pelvic infection or from a prior surgical procedure can cause displacement of the uterus. [babyhopes.com]
This surgical procedure is used to reposition a tipped uterus from its backward facing position to a forward facing position. The UPLIFT procedure is a newer and improved method of performing a uterine suspension. [americanpregnancy.org]
- Weakness
If you do have light adult incontinence, ignore it at your peril - it is a warning of worse weakness to come that could result in pelvic organ prolapse. [kegel8.co.uk]
Weakening of Ligaments During menopause, the ligaments become weak and become unsuitable to hold the uterus in proper position. Weakness of ligament also causes Retroverted Uterus. [primehealthchannel.com]
This anatomically variation may be caused by pelvic inflammatory disease, weak uterine ligaments, multiple pregnancies or endometriosis. [livestrong.com]
Injury or weakness of the pelvic muscles, usually from multiple or unattended childbirths, is the most common cause of uterine prolapse. [healthcommunities.com]
Respiratoric
- Cough
Other common symptoms are: pain in the lower back area during the menstrual cycle, cough, irritability, stomach discomfort, headache etc. This alteration can be congenital or acquired. [invitra.com]
Repeated coughing may weaken all the pelvic elements Symptoms of Uterine Prolapse In many women, no symptoms Discomfort, pain, or a sensation of heaviness or fullness in the lower abdomen and vagina A lump located inside or outside of the vagina Abnormal [healthcommunities.com]
[…] pressure in the pelvis, discomfort during sex, and a noticeable bulge of tissue at the opening of the vagina.When the supports for the bladder and bladder stem (urethra) are weakened due to childbirth, the bladder often leaks urine when a person is coughing [med.unc.edu]
Gastrointestinal
- Constipation
The future mom feels unwell, gets fatigued, has increasing pulling pains in the lower abdomen and gets constipated. [infobaby.org]
That’s why it may put pressure on the rectus and cause pain when defecating and chronic constipation, apart from painful sexual relationships. [invitra.com]
Constant constipation or recurring bowel irregularity Obesity, diabetes mellitus, chronic bronchitis, asthma, certain generalized defects in supporting tissues, and a retroverted uterus (uterus is tipped toward the back of the body) increase the risk. [healthcommunities.com]
- Pelvic Mass
The diagnosis is carried out through a pelvic examination, although it can be confused with a pelvic mass or the growth of the fibroma. A rectus-vaginal examination is performed to distinguish the retroverted uterus. [invitra.com]
Retroverted Uterus Signs and tests A pelvic examination reveals the position of the uterus. However, a tipped uterus can sometimes be mistaken for a pelvic mass or an enlarging fibroid. [mariozapatamd.com]
However, a tipped uterus can sometimes be mistaken for a pelvic mass or a growing fibroid. A rectovaginal exam may be used to distinguish between a mass and a retroverted uterus. [nlm.nih.gov]
- Abdominal Pain
Tilted uterus symptoms: Does it make period pain worse? It’s often thought that women with a tilted uterus are more prone to bad abdominal pain and menstrual cramps than those with the uterus in the usual position. [baby-pedia.com]
Women may experience abdominal pain, pelvic pain, or irregular menstrual periods. Women who have a tilted uterus – or think they might – should speak to their doctor. [issm.info]
Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia Bridging the Gap Challenge Yourself [nejm.org]
Symptoms of an incarcerated uterus typically develop at around 14 to 16 weeks gestation and may include: Difficulty or inability to urinate (this is called urinary retention) Urinary incontinence Abdominal pain Constipation Discomfort in your rectal area [miscarriage.about.com]
- Hematochezia
Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia Bridging the Gap Challenge Yourself [nejm.org]
Eyes
- Prolapse
Recent data demonstrates that the prevalence of grade 2-4 uterine prolapse for a retroverted uterus is 4.5 times that for an anteverted uterus. Alternatively, 69% grade 2-4 uterine prolapse involves the retroverted uterus. [hystersisters.com]
So that if one organ is prolapsed, chances are the other one or two may also be prolapsed to some degree or another. Many women talk about a primary prolapse (main prolapse) and secondary or less severe prolapses. [wholewoman.com]
Vaginal Prolapse Diagnosis Gynecological examination Pelvic examination How to Treat Vaginal Prolapse Mild cases of uterine prolapse may not require treatment. Avoid tight pants, belts, or girdles. [healthcommunities.com]
Recent data demonstrate that the prevalence of grade 2–4 uterine prolapse for a retroverted uterus is 4.5 times that for an anteverted uterus. Alternatively, 69% grade 2–4 uterine prolapse involves the retroverted uterus. [link.springer.com]
Neurologic
- Irritability
Sometimes bladder infection, irritation or irritability can cause the problem, in which case medications are often helpful. [med.unc.edu]
No matter which type I used they’d irritate and inflame an already irritated/inflamed sensitive area :o( I’d tried a return to pads but with heavy periods and nighttime leaks they just weren’t working for me. [mooncup.co.uk]
- Headache
Other common symptoms are: pain in the lower back area during the menstrual cycle, cough, irritability, stomach discomfort, headache etc. This alteration can be congenital or acquired. [invitra.com]
If these adhesions are pulling the uterus back so it obstructs the ovaries, this can cause problems with ovulation, which is a real headache when you’re trying to conceive. [baby-pedia.com]
Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Case 3-2019: A 70-Year-Old Woman with Fever, Headache, and Progressive Encephalopathy Caplacizumab Treatment for Acquired Thrombotic Thrombocytopenic Purpura Randomized [nejm.org]
- Confusion
The diagnosis is carried out through a pelvic examination, although it can be confused with a pelvic mass or the growth of the fibroma. A rectus-vaginal examination is performed to distinguish the retroverted uterus. [invitra.com]
#8 thelibertine Posted 24 January 2010 - 05:36 AM What I still am confused about is whether I even have C the doctors use it i reference when often some days I am constantly running to the bathroom but I wil have many small pieces but the call is urgent [ibsgroup.org]
Urogenital
- Pelvic Pain
Rarely, retroversion of the uterus caused by an enlarging pregnancy or tumor may cause pelvic pain or discomfort. [mariozapatamd.com]
Some women with such gynecologic abnormalities as uterine fibroids or endometriosis may experience GI symptoms or chronic pelvic pain, which could mimic IBS. [clinicaladvisor.com]
- Incontinence
Regular pelvic floor exercise will not only protect you from those mild stress incontinence leaks they'll add a zing to your love-life too. [kegel8.co.uk]
That may cause either increased incontinence or difficulty urinating. It can also cause back pain for some women. Your uterus may also be harder to see via ultrasound until it begins to enlarge with pregnancy. [healthline.com]
Rare symptoms associated with a retroverted uterus include: lower back pain increased number of urinary tract infections incontinence pain while using tampons fertility difficulties Diagnosing a Retroverted Uterus If you are experiencing symptoms of a [womens-health.co.uk]
- Dyspareunia
Differential diagnosis Causes of: – Mass in Douglas pouch – Deep Dyspareunia – Low back pain 9. [slideshare.net]
The retroverted uterus almost never causes symptoms, although it is sometimes associated with dyspareunia and dysmenorrhea. [radiopaedia.org]
- Dysmenorrhea
The retroverted uterus almost never causes symptoms, although it is sometimes associated with dyspareunia and dysmenorrhea. [radiopaedia.org]
It usually does not pose any medical problems, though it can be associated with dyspareunia (pain during sexual intercourse) and dysmenorrhea (pain during menstruation). [en.wikipedia.org]
However, if symptoms do present, the two most commonly-occurring symptoms include: pain during sexual intercourse, particularly vaginal intercourse (dyspareunia) pain during menstruation (dysmenorrhea) This pain and discomfort is the result of pressure [womens-health.co.uk]
Treatment
RETROVERTED UTERUS - TREATMENT The most important retroverted uterus treatment is done by identifying the root cause of the problem and treating it gradually. [bulkyuterus.blogspot.com]
Treatment Edit Treatment options are rarely needed, and include exercises, a pessary, manual repositioning, and surgery. References Edit External links Edit [en.m.wikipedia.org]
Treatment is therefore not necessary unless there are any symptoms. [news-medical.net]
A clinical guide to their diagnosis and treatment (1899) (14765032601).jpg 1 848 × 2 260; 435 KB Lectures on the physiological laws of life, hygiene, and a general outline of diseases peculiar to females (1882) (14778868194).jpg 1 524 × 1 804; 220 KB [commons.wikimedia.org]
Treatment lines • No treatment : if no symptoms • Prophylactic treatment: during puerperium • Active treatment – Fixed RVF: treatment of the cause – Mobile RVF: • Palliative: pessary treatment • Operative treatment: positive pessary test • Treatment of [slideshare.net]
Prognosis
Treatment and prognosis Complications The retroverted uterus may have a higher incidence of threatened abortion, because at the beginning of pregnancy, the uterus has to rotate completely to grow in the abdominal cavity ref needed . [radiopaedia.org]
Any underlying disorders (such as endometriosis or adhesions) may be treated as needed Expectations (prognosis) Usually this condition does not cause problems. [mariozapatamd.com]
Outlook (Prognosis) In most cases, the condition does not cause problems. Possible Complications In most cases, a retroverted uterus is a normal finding.. [leehealth.org]
Etiology
A full obstetrics-gynecologic history and pelvic exam to exclude gynecologic etiology should precede a diagnosis of IBS. [clinicaladvisor.com]
Endometriosis: etiology, pathology, diagnosis, management. In: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Comprehensive Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 19. Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. [nlm.nih.gov]
Epidemiology
MAX ALLOWED QUERY : 500 CHARS Last Update: 2016-12-11 Usage Frequency: 1 Reference: Anonymous English Epidemiology Frequency In developing countries, the predominant cause of VVF is prolonged obstructed labor (97%). [mymemory.translated.net]
Pathophysiology
Sonographic findings in acute urinary retention secondary to retroverted gravid uterus: pathophysiology and preventive measures. Ultrasound Obstet Gynecol. 23(5):490-5. [ehealthhall.com]
Prevention
Retroverted Uterus Prevention There is no known prevention. However, early treatment of PID or endometriosis may reduce the chances of a change in the position of the uterus. [mariozapatamd.com]
Can a tipped uterus prevent pregnancy? Typically a tipped uterus is only thought to be the cause of infertility after all other possible reasons for fertility problems have been ruled out. [americanpregnancy.org]
There are no preventions for this condition. Any normal acts will not change the position of the uterus although the angle can be shifted. [ehealthhall.com]
While normal involution prevents this from occurring, failure of involution can result in retroversion. Diagnosis and treatment The presence of a retroverted uterus is usually diagnosed by a pelvic examination. [news-medical.net]