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Wednesday, July 24, 2013

The Tipped Uterus

Many women have a "tipped" uterus, known to physicians as a retroverted uterus. It's likely normal, and not likely to produce symptoms. It is a different pelvic arrangement of ligaments and organs
than having a uterus that isn't tipped and thus different positions during sex may be more or less comfortable, menstrual cramps may produce symptoms that are more likely to be rectal, and there has been a question as to whether women with a tipped uterus are in fact less fertile (probably not unless there is a new reason the uterus is tipped). In some cases the uterus is so tipped that pelvic exams or pap smears are more difficult for the gyno to perform and more uncomfortable for the patients. Rarely a pregnant uterus that is retroverted or tipped will not be able to grow out of the pelvis properly and become entrapped, but most gynos have never even seen one of these cases. To explain this medically, in more depth, uterus sits in a position at the top of the vagina that is supported in a way that it is either tilted forward, backwards or is very much centered. The uterus that is tilted forward is termed anteverted. If tilted back it is retroverted. The uterus also has it's own axis, either bent forward at the joining point between the cervix (the mouth of the uterus) and the upper part of the uterus (the fundus is the medical term). If bent forward it is anteflexed, if bent back: retroflexed. Uterus typically are anteverted and anteflexed, and those that are tipped back are often retroverted and retroflexed. About 15% of all woman have the retroverted uterus. There is no specific link with the natural position of one's uterus and infection. However, pelvic inflammatory disease or other medical conditions can scar a previously anteverted uterus into the retroverted or tipped position. What is most important is to ask your gyno about your pelvic exam, and have her gab a bit about why that is important.

2 comments:

  1. Is it possible to develop a retroverted uterus after carrying a large baby? My first born was 10lbsI 10.5oz and before I carried him no one had mentioned that my uterus was tipped. Also does this increase my chances for a prolapse later in life?

    ReplyDelete
  2. Many physicians call babies over 9 pounds as macrosmic (large), and some only call macrosomia after 10 pounds (or a cut off of 4000-4500 grams. It is true that delivering a large baby can be a factor in pelvic floor disorders (common) and uterine changes (just to become retroverted after the baby being large is uncommon) after pregnancy, an examination has to be performed to determine any pelvic organ changes, and the reasons for these changes if the anatomy has changed.

    ReplyDelete

Thank you for your comments and questions. This blog is not intended to replace medical care, but is informational only. We hope you will become a follower or visit Womens Health Practice. We offer a variety of unique services including MonaLisa Touch, Coolsculpting, Labiaplasty, and Gynecoloigic Clinical Research Trials. For more information on menopause see http://www.amazon.com/Menopause-Make-Peace-Change

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