What is a Retroverted Uterus? Myths and Facts

The normal position of the uterus is directed forward in the pelvis but when the uterus is directed forward in the pelvis but when the uterus tilts backwards rather than forwards, the condition is known as retroversion of uterus.

This is a normal variation of pelvic anatomy and is often seen in one in five women all over the world. It is a well-known fact that a retroverted uterus is commonly caused by genetic reasons.

Sometimes, this condition can occur due to the weakening of the pelvic ligament as it is mainly responsible for the ante version of the uterus.

Weakening of ligaments can occur during menopause due to the lack of ovarian hormones especially estrogens. Also, some tumors of the uterus like fibroids, because of their size, can alter the position of the uterus.

Other conditions like scar tissue in the pelvis (pelvic adhesions due to pelvic surgeries), endometriosis and pelvic inflammatory diseases can also lead to retroversion of the uterus.

In some patients, this condition may cause pain or discomfort mainly dysmenorrhoea or dyspareunia but does not require surgical treatment to correct the condition.

Rare symptoms include lower back pain, urinary tract infection and infertility problems. And there is no way to prevent this problem from occurring.

Retroverted Gravid Uterus:

Usually between the 10th-12th weeks of pregnancy, the uterus enlarges and spontaneously corrects its position.

At times, a retroverted uterus during pregnancy can give rise to some symptoms of pain in the abdomen, backache, urinary symptoms frequency, dysuria, sensation of incomplete voiding, dribbling and retention. However, it is rarely a reason for miscarriage.

What is a Retroverted Uterus

Myths and Facts:

Myth

Fact

Causes infertility No, it does not interfere with the ability to conceive.
Leads to Abortions No, there is no scientific data to suggest that it causes abortions.
Normal Labor Not Possible No, women with a retroverted uterus can easily have normal labor as after three months of pregnancy, the uterus is an abdominal organ and the problem of retroversion gets corrected.

When the uterus is entrapped in the pelvis during a pregnancy, it is called an incarcerated gravid uterus and can present itself with pain and retention of urine.

It occurs in one in 3000 to one in 1000 pregnancies and in this situation, one needs immediate medical attention. Retroverted uterus is quite a common disease.

This is not a life-threatening condition, so one should not worry too much when being diagnosed with a retroverted uterus.

SOURCE: B-Positive Health Magazine

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