A range of causes for a retroverted uterus Some of the causes of a retroverted uterus include: Natural variation — generally, the uterus moves into a forward tilt as the woman matures. Adhesions — an adhesion is a band of scar tissue that joins two usually separate anatomic surfaces together.
Pelvic surgery can cause adhesions to form, which can then pull the uterus into a retroverted position. Endometriosis — the endometrium is the lining of the uterus. Endometriosis is the growth of endometrial cells outside the uterus.
Fibroids — these small, non-cancerous lumps can make the uterus susceptible to tipping backwards. Pregnancy — the uterus is held in place by bands of connective tissue called ligaments. Pregnancy can overstretch these ligaments and allow the uterus to tip backwards. Sexual problems In most cases of retroverted uterus, the ovaries and fallopian tubes are tipped backwards too.
The woman-on-top position usually causes the most pain. It is possible for vigorous sex in this position to injure or tear the ligaments surrounding the uterus. After the first trimester, the expanding uterus lifts out of the pelvis and, for the remainder of the pregnancy, assumes the typical forward-tipped position. The symptoms usually occur somewhere between weeks 12 and 14, and can include pain and difficulties passing urine. Diagnosis of a retroverted uterus A retroverted uterus is diagnosed by routine pelvic examination.
Sometimes, a woman may discover that she has a retroverted uterus during a Pap test. If you are experiencing symptoms such as painful sex, the first action taken by your doctor may include a range of tests to find out if other conditions are causing your retroverted uterus, such as endometriosis or fibroids. Treatment for a retroverted uterus If a retroverted uterus is causing problems, treatment options can include: Treatment for the underlying condition — such as hormone therapy for endometriosis.
However, the medical profession is divided over whether or not pelvic exercises are worthwhile as a long-term solution. In many cases, the uterus simply tips backwards again. Pessary — a small silicone or plastic device can be placed either temporarily or permanently to help prop the uterus into a forward lean. However, pessaries have been linked with increased risk of infection and inflammation. Others have a tilted uterus as the result of: Scarring.
The uterus can be pulled backward or held back by scar tissue resulting from endometriosis , infection, pelvic inflammatory disease PID , or pelvic surgery including a previous cesarean delivery. An enlarged uterus, from a tumor or fibroids , or a previous pregnancy, may tilt backward.
Weak pelvic muscles. After childbirth or menopause, the uterus can tilt backward because the ligaments that support it have become weakened. While most women have no symptoms, these risk factors might be associated with a retroverted uterus: Menstrual pain or cramping Pain during sex Minor urinary incontinence or pressure in the bladder Recurrent UTIs Can I get pregnant with a retroverted uterus?
A retroverted uterus is unlikely to affect your pregnancy in any way. However, it's possible that a retroverted uterus may cause: Back pain. It makes sense that you may have back pain if your uterus puts pressure on your spine. But many pregnant women have back pain no matter the position of the uterus, and there's no scientific evidence that a retroverted uterus will make back pain worse. Difficulty finding your baby during an ultrasound.
A retroverted uterus ultrasound can be tricky because the baby is just a little far away. If that's the case, a transvaginal ultrasound done through the vagina with a specially designed wand will get a better picture of her.
Learn more : When will my pregnancy start to show? Pregnancy symptoms you should never ignore Common causes of fertility problems in women. Sources BabyCenter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. Featured video. Back labor. When the ultrasound shows no baby. Is it normal that I don't look pregnant yet?
Pain during sex and chronic pelvic pain. How your body changes during pregnancy. Early pregnancy failure blighted ovum. New to BabyCenter? Join now. Password Forgot your password? Keep me logged in. Log in. Get the BabyCenter app. Download now. Often there are no symptoms associated with a retroverted uterus, although painful intercourse has been known to occur. If you do experience symptoms, there are treatments available which can help.
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