Get the answers to your questions about retroverted uterus straight from an obstetrician-gynecologist.
3. Retroverted uterus is more common than you think.
About twenty percent of women worldwide have uteri that are naturally retroverted.
4. Retroverted uterus does not lessen a woman’s chances of conceiving, nor does it affect pregnancy.
“Having a retroverted uterus has no bearing on a woman's reproductive career. It is not associated with problems in conception or a woman's fertility,” attests Dr. Tangco.
On the whole, it doesn’t affect pregnancy. As the baby grows in the first trimester, the uterus expands in the pelvic cavity, and by 12 to 13 weeks of pregnancy, the uterus grows up and out of the pelvis and into the abdomen to accommodate the growing baby.
5. Retroverted uterus is not a serious condition but it can bring pain.
In general, a retroverted uterus does not cause problems. If problems do occur, an associated condition that a woman might have like endometriosis is the probable culprit. Two symptoms of this would be pain and discomfort during sexual intercourse - especially when the woman is on top - and pain during menstruation.
6. Retroverted uterus can be treated.
These are the treatment options if a retroverted uterus is causing problems:
- Medical or surgical treatment of the underlying condition/s (endometriosis, pelvic inflammatory disease, adhesions and myomas).
If the movement of the uterus is not hindered by the above mentioned conditions, and if the doctor can manually reposition the uterus during pelvic examination, exercises may help.
This is a small silicone or plastic device that can be placed temporarily or permanently inside the vagina. It helps prop the uterus into a forward lean. But because a pessary is a foreign object, it has disadvantages, warns Dr. Tangco. It can trigger pelvic infection and inflammation, make sexual intercourse painful for the woman, and cause discomfort as well for her partner.
- Treatment for incarcerated uterus
Incarcerated uterus is a very rare obstetrical complication wherein the pregnant and growing uterus remains persistently in a retroverted position. As a result, it becomes wedged into the pelvic cavity. This condition can be improved by hospitalization, insertion of a urinary catheter to empty the bladder, and a series of exercises such as pelvic rocking to help free the uterus.
For other concerns about retroverted uterus, consult your ob-gyne.
About the expert: Obstetrician-gynecologist Kristine C. Tangco, MD, FPOGS, FPSUOG, practices at the Cardinal Santos Medical Center in San Juan and at In My Womb Ultrasound Centre-SM Megamall in Mandaluyong.
About the author: Regina Posadas
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