posterior uterus Few women are aware of this condition, but it is common as about 25% of men have it. Some experience the following symptoms: menstrual pain, painful sex, urinary problems, etc. Nothing can be done to prevent uterine inversion because most of the time, uterine inversion is caused by a medical condition that cannot be controlled.
Experts at the Cleveland Clinic explain what a posterior uterus is, its causes, and symptoms.
Uterine retroposition, or uterine inversion, is when the uterus is tilted backward, toward the spine. It doesn’t cause any serious health problems, but it can cause discomfort during intercourse and menstrual pain.
Retroverted uterus is very common. In about 25% of people, the uterus tilts backward at the cervix.
Some people are born with a retroverted uterus; others are born with a retroverted uterus. It is present from birth and is not caused by any medical condition. In some cases, it may develop later in life.
Scar-like tissue from previous pelvic surgery (including C-section), pelvic inflammatory disease (PID), or other infections may cause uterine tissue to adhere to other organs. This pulls your uterus back.
Fibroids, or other growths in the uterus, can change their shape and location.
In this condition, tissue such as the endometrium forms outside the uterus. These cells can stick to other organs in the pelvis and cause the uterus to invert.
Once you give birth, the muscles and ligaments of the pelvic floor are stretched and weakened, which can cause the uterus to tilt backward.
Menopause can cause weakening of the pelvic muscles due to the decrease in estrogen. The ligaments that support the uterus fail to support the uterus, causing the uterus to tilt backward.
Some people do not experience any symptoms of a retroverted uterus. For those who do have symptoms, the most common are:
– Pain during menstruation.
– Pain during intercourse, especially in certain positions.
– Problems with tampon use during menstruation.
– Urinary problems, such as urinary tract infection (UTI) or incontinence.
Your healthcare provider may recommend the following treatment options:
If you have the underlying cause of a posterior uterus, treating the condition may help improve your symptoms.
Some healthcare providers have experience manually moving the uterus into anterior position. If this happens, exercises that strengthen the pelvic muscles can help the uterus stay in this position. Ask your healthcare provider if exercises like Kegels can help improve your condition. When performing Kegel exercises, contract your pelvic muscles as if you were trying to hold back your urine. Hold the muscles contracted for a few seconds, then relax. If your retroverted uterus is caused by scarring and can return to its retroverted position, these exercises will not help.
A pessary is a small ring-shaped plastic device inserted into the vagina. It acts as a support structure, helping to hold objects in the vagina in place. It can help support the uterus in an anteverted position. There are some risks with pessaries, such as infection, so your doctor may recommend them as a short-term solution.
Your healthcare provider can surgically reposition your uterus to a forward-facing position. This procedure is called uterine suspension or uterine reduction. This permanently corrects the retroversion of the uterus and relieves pain. In severe cases, a hysterectomy (complete removal of the uterus) may be considered.
There is nothing you can do to prevent a retroverted uterus. Most of the time it is out of control because it is caused by a medical condition.
If your retroverted uterus is caused by a medical condition pelvic inflammatory disease (PID), You can reduce your risk of PID by practicing safer sex. Using condoms and limiting sexual partners can help reduce the risk of sexually transmitted infections (STIs), which can lead to PID.
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