Most of the time, women have an anteversation uterus. Some may have a retroversed uterus, that is to say backward oriented. Diagram, pain during rules and reports, consequences on pregnancy, operation … We tell you everything.
In the majority of women, the uterus is normally leaning forward, between the bladder and the rectum. It is connected to the abdominal wall by means of several pairs of ligaments. They say he is anteversé. On the other hand, when it is retroversed, The uterus is leaning in the other direction :: It is positioned backwards, In the vagina axis towards the rectum. It is an anatomical variant and not a malformation. Frequent specificity, it touches 20 to 30 % of women approximately.
A retroversal uterus is not visible outside a medical examination and may not cause No symptoms. It is quite possible to live with a retroversed uterus without noticing it.
In some women, uterine retroversion can cause Pain during sexual relations (dyspareunia) If the penis comes into contact with the bottom of the vagina or the cervix during penetration. Of the pain can also occur before and during periodsassociated with a gravity feeling. Complications of uterine retroversion are extremely rare. This anomaly is generally without effect on fertility and pregnancy.
The uterus can be retroversed from birth: it is then a primitive retroversion whose causes are still poorly known. But the retroversed uterus can also be “secondary”: initially anteversé, it can switch following an anomaly like a fibroid, a delivery and a loss of tone of the ligaments which maintain the uterus in the basin. This position anomaly is also sometimes associated with endometriosis.
Uterine retroversion is Observed during a clinical examination by the gynecologist. An abdominal ultrasound can be requested to confirm the diagnosis.
No treatment exists to correct the position of the uterus in case of retroversion.
No treatment exists to correct the position of the uterus in the event of retroversion. Only a surgical intervention by laparoscopy can be proposed as a last resort if the retroversed uterus causes pain and a particularly disabling discomfort. In prevention of pain, it is advisable to adopt more comfortable positions during sex.
Having the retroversed uterus does not prevent from getting pregnant or leading a term pregnancy without risk. The uterus finds a normal position spontaneously around two to three months of pregnancy, due to the volume, to allow the fetus to develop. If in doubt, it is recommended to request the advice of the attending physician or the gynecologist. Fertility is also in no way impacted. “”Only downside on contraception: that by an intrauterine device is possible, but the installation can be a little more delicate than in the event of an anteversated uterus“, Specifies Dr. Christelle Besnard-Charvet, gynecologist.
