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inverted uterus

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The inverted uterus, scientifically known as uterine retroversion, means that the uterus is positioned on the woman's body facing backwards, towards the back and not facing forward, as it happens in most women, and normally the remaining organs, like the ovaries and tubes, they are also turned back.

This change in the uterus, also known as a retroverted uterus, a reverse uterus or even a turned uterus, usually does not cause problems and does not prevent a woman from becoming pregnant. However, women with an inverted uterus are more likely to develop endometriosis and this can make fertilization and pregnancy more difficult.

Normal Uterus

Inverted uterus

Inverted uterus in pregnancy

In most cases, the inverted uterus in pregnancy does not cause major complications and does not interfere with pregnancy, except in cases of fixed inverted uterus, making women feel pain when urinating, evacuating, during and after intimate contact, over the whole pregnancy.

In addition, some women may also experience difficulty urinating between the third and fourth month of pregnancy.

Inverted uterus and normal delivery

Generally, delivery in the case of an inverted uterus can be normal, and a cesarean section is not necessary for this reason alone. Most of the time, until the 12th week of gestation, the uterus adopts a position closer to normal, facing forward and flexed under the bladder, which facilitates the occurrence of normal delivery.

Symptoms of inverted uterus

The symptoms of the inverted uterus depend on whether the uterus is mobile or fixed. In cases of fixed inverted uterus, symptoms include:

  • Pain in the hips region; Strong menstrual cramps; Pain during and after intimate contact; Pain when urinating and evacuating.

When the inverted uterus is mobile, women generally have no symptoms, only weak cramps during and after menstruation, and sometimes discomfort in certain positions in intimate contact.

The main cause of the retroverted uterus is the incorrect development of the uterus in adolescence, due to endometriosis or fibroids or even being caused by pregnancy, and the gynecologist is able to diagnose this problem through routine tests such as touch and ultrasound.

Inverted uterus treatment

The treatment of uterine retroversion should be guided by the gynecologist and, when endometriosis is involved, the use of hormonal remedies is indicated. Learn more at: Treatment for Endometriosis.

In addition, it may be necessary to perform surgery such as placing a pessary in the uterus. In this surgery, a small plastic or silicone device is placed in the uterus to help keep it facing forward. However, there is a greater chance of having infection, inflammation and pain during intimate contact, and in some cases, surgical removal of the uterus may be considered.

Here is another problem in the uterus that can harm pregnancy: Understand why the septate uterus can make pregnancy difficult.

inverted uterus