The uterus is a hollow muscular organ that is located between the rectum and the bladder. The normal location of the uterus is considered to be anteversia, that is, the physiological bending of the uterus anterior to the longitudinal axis of the pelvis. Relatively to the cervix, the uterus is also tilted anteriorly. In 15-20% there is a change in the bending of the uterus posteriorly - retroflexio, which can hinder the conception of the child and its bearing. Effective in the treatment of cervical flexion are: physical therapy, massage and physiotherapy. In our article, we will consider the features of conception, the course of pregnancy and childbirth in women with a bend of the uterus.
Causes and Symptoms of Cervical Bend
There are many reasons why the uterus can change its position, they are referred to:
- hereditary predisposition is the main cause of the bending of the uterus, since often there are virgins;
- weakening of the musculo-ligament apparatus of the uterus (bending the cervix after delivery and caesarean section, very thin and women with a weakened body);
- to predisposing factors, also include: frequent abortions, endometriosis, adhesive process in the small pelvis and formation along the anterior wall of the uterus.
The main symptoms of bending of the uterus are periodic pulling pains in the lower abdomen, in the waist and sacrum, painful menstruation and possible spotting spotting 1-2 days before the onset of menstruation.
Cervical bend - pregnancy and childbirth
If the bend is not very pronounced, then the problem will not be conceived. In the case of pronounced bending of the uterus, it is difficult to hit the spermatozoids into the uterine cavity.
If the uterus is not fixed, then during pregnancy, it independently takes the correct position. To help her, the expectant mother should periodically take a knee-elbow position and stay in it for several minutes. If the uterus is adhered to the bladder or rectum with spikes, then as it grows it squeezes the rectum and pulls up the bladder, which significantly complicates bowel movements, gas leakage and urination. This condition is called the infringement of the uterus, and it represents a real threat of abortion, as well as inflammation of the bladder and kidneys. In case of infringement of the uterus, it is straightened under general anesthesia, provided that the bladder is emptied with the help of the Foley catheter. In this case, the uterus is expelled through the lateral vaults of the vagina. In case of failure, laparotomy (dissection of the abdomen) is made and the uterus is straightened through the laparotomic wound.
If the uterus is fixed only posteriorly, then its straightening is not required. With this pathology, labor can be complicated by a violation of the opening of the cervix , which may necessitate surgical delivery.
What is dangerous for the bend of the uterus?
In young women, the bending of the uterus is dangerous because of the inability to conceive a child, and in case of successful fertilization, a high risk of premature termination of pregnancy. In older women,
We examined the causes and symptoms of cervical bending, as well as the features of the course of pregnancy and childbirth in this type of pathology. As we see, with an easy degree of bending, the clinical picture is not pronounced, and problems with conception, the course of pregnancy and childbirth do not arise. If a woman is concerned about pain before menstruation, painful menstruation, bloody discharge before menstruation, inability to become pregnant, it is worthwhile to see a doctor. After all, one of the causes of infertility may be a pronounced bending of the uterus.