What Is an Inverted Uterus?

The uterus retroposition is a clinically common uterine position, including retroverted uterus and posterior flexion. If the longitudinal axis of the uterus does not change, the entire uterus is tilted backwards, so that the cervix is upturned, that is, the uterus is tilted backwards. If the position of the cervix is normal, only the uterine body will fall backward, which is called posterior uterine flexion. The posterior uterus is mostly normal, and some may be associated with gynecological diseases.

Basic Information

nickname: Retroverted uterus
English name: uterus retroposition
English alias: uterine retroversion

Visiting department: Obstetrics and Gynecology
Common causes: Inflammation, ligament relaxation, pelvic infection after abortion, etc.
Common symptoms: Slight swelling of the waist, severe swelling of the lumbosacral tail and crotch

Causes of posterior uterus

1. Inflammation of the uterus, fallopian tubes or ovaries, leading to tissue adhesion between the uterine body and the rectum at the rear, causing the uterus to fall away from its original position and dump backwards under the action of traction.

2. Due to congenital dysplasia of the uterus, the uterine ligaments relax, causing the bottom of the uterus to fall backward or to the left and right.

3. Repeated abortion, or failure to recuperate after abortion, pelvic infection, causing the uterus to fall backward.

Posterior uterine clinical manifestations

According to the degree of uterine retroversion, the posterior uterine position is divided into , and degrees.

1. Mild posterior uterine position (-degree)

Generally no symptoms appear and no treatment is required.

2. Severe posterior uterine position ( degree)

Symptoms often occur, mainly as backache. The lighter ones are just the discomfort of soreness in the waist, and the severe ones are unbearably sore throughout the waist, the crotch and the crotch of both sides. Individual patients have soreness extending to the lower back and both sides of the groin. Swelling of the lower abdomen and anal bulging often coexist, and symptoms of fatigue and menstrual periods often increase. If not corrected in time, dysmenorrhea, irregular menstruation, increased vaginal discharge, unpleasant sex, miscarriage, infertility, etc. In the posterior uterus, if the posterior uterus is not corrected automatically after 3 months of conception, the bladder neck and urethra will be deformed and the cervix will be uplifted, which can compress the acute urinary retention of the posterior urethra.

Posterior uterine examination

Gynecological examination

In the double joint examination, the fingers are placed in the posterior fornix of the vagina, and the hands are placed on the abdominal wall to press deeply, only touching the anterior wall of the palace, and the fingers in the vagina can only touch the posterior wall of the palace.

Degree : The uterine floor points to the promontory, and the abdominal fingers can only touch the anterior wall of the uterus during the double consultation.

Degree : The bottom of the uterus points to the sacral concavity. During double examination, the vaginal fingers can only touch the posterior wall of the uterus.

degree: the bottom of the uterus lies in the uterine rectal depression, and the fingers in the vagina can only touch the bottom of the uterus during the double joint examination, which is more clear in the triple consultation.

2. Auxiliary inspection

B-ultrasound can determine the location of the uterus.

Posterior Uterine Treatment

Posterior uterus generally does not require treatment. Some patients with other gynecological diseases and symptomatic posterior uterus should be treated with related gynecological diseases.

Posterior uterine prevention

1. Most women's uterine posterior position is preventable. The key is to allow the mother to get enough rest after giving birth so that the pelvic tissue can be recovered in time. Pay special attention to the supine position during breaks and avoid prolonged supine positions. Side, supine and prone positions should alternate. From the 3rd day after the birth, you can do some exercises on the bed for abdominal, limbs and pelvic floor muscle exercises, which is conducive to postpartum rehabilitation. After the abortion or other reasons cause pelvic infection and the formation of adhesions will promote the formation of the posterior uterus, it should be actively treated as soon as possible. Postpartum examinations are strictly performed, and those with poor postpartum uterine recovery should be promptly corrected.

2. Develop the habit of excluding bowel movements on time, do not overfill the bladder, and do not increase abdominal pressure due to habitual constipation.

3. Usually pay attention to physical exercise, enhance the tension of the pelvic ligament and pelvic floor muscles, and try not to relax it.

4. Because coughing will force down and increase abdominal pressure, it should actively prevent and treat diseases such as chronic bronchitis.

Posterior uterine conception

The woman can place a soft pad or small pillow under the buttocks to raise the buttocks, concentrate the injected semen toward the posterior vaginal fornix, and continuously raise the buttocks for 20-30 minutes. This allows sperm to enter the uterine cavity more easily and increases the chance of conception.