One of the most common pathologies in women is the bending of the uterus, which occurs in almost 18-20% of the examined. Normally, the uterus is pear-shaped, slightly flattened in the anterior-posterior size and slightly tilted forward. This slope is called the physiological bend of the uterus forward - anteflexio. Retroversio - pathological bending of the uterus posterior , which in some women is congenital, and in others - acquired as a result of pathological changes (weakening of the ligament of the uterus, prolonged infectious process, adhesive process).
What causes the bending of the uterus?
As already mentioned, in half of women the uterine bend is a congenital anomaly, which they learn about either during the planned gynecological examination, or by complaining about unsuccessful attempts to become pregnant. The hereditary factor in the formation of the cervix is noted.
Acquired bending of the uterus can occur for the following reasons:
- long-term inflammatory processes in the pelvic organs;
- excessive physical activity and lifting of weights;
- endometriosis ;
- weakening of the muscles and ligaments of the pelvic floor and uterus (multiple births, lack of physical activity);
- disruption of the intestine (regular constipation);
- irregular discharge of the bladder (long suffering with a filled bladder).
Cuff of the cervix posteriorly - symptoms
This pathology is most often found in asthenic skinny girls with a weakly developed muscular system. Bending the body of the uterus can manifest itself as painful menstruation, a change in the volume of the monthly as an increase? and in the direction of decrease, an irregular cycle, smearing secretions for a few days before menstruation. Signs of pronounced bending of the uterus can be painful sensations after sexual intercourse, problems with conception and bearing pregnancy.
Varieties of bending of the uterus
There are the following types of bending of the uterus:
- the bend of the uterus to the left or to the right, that is, to one of the ovaries is called lateroflexia;
- the bend of the uterus forward along with the cervix is called anteversion;
- The deviation of the uterus back towards the rectum is called retroflexia.
How to determine the bend of the uterus?
Define the bending of the uterus doctor can after he has collected complaints of a woman (painful period, spotting), internal obstetric examination, colposcopy. The most reliable diagnostic method is ultrasound with a vaginal sensor and hysterography (contrast study).
Bending of the uterus - consequences
When the uterine bends are not pronounced, a woman can not make any complaints, and problems with conceiving may also not occur. Infertility or problems with bearing often arise due to the acquired bending (chronic inflammatory process, adhesive process). A pronounced change in the position of the uterus can prevent the penetration of spermatozoa into it. With the acquired bending of the uterus, caused by the attachment of spikes to the bladder and rectum, uterine infringement and
And what threatens to bend the uterus in old age? - Women with weak perineal and uterine muscles in elderly and senile age may experience ovulation and prolapse.
We examined the clinical picture, the causes and diagnostics of the bending of the uterus. As we see, the physiological bend of the uterus does not cause discomfort to the woman and does not interfere with the conception of the child. However, this condition requires attention, because pronounced changes in the position of the uterus in the small pelvis can not only lead to infertility, but also disrupt the process of bearing a child, complicate delivery.