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So, how do you know if you have one? What are the signs to look out for, and how do doctors diagnose it? Let’s find out.
What Exactly Is a Retroverted Uterus?
Let us first comprehend the condition before proceeding with the symptoms. The uterus is a pear-shaped organ that is found in the lower part of your abdomen. It tips forward a little in most cases, lying above the bladder. However, in approximately 20-30 per cent of individuals, it tilts backwards towards the spine. This retroversion is what we describe as a retroverted uterus.It is not a disease or defect but simply an anatomical difference. It is present at birth in some cases, but others may be at risk because of health conditions later in life or even after pregnancy.
Common Symptoms of a Retroverted Uterus
As mentioned earlier, many individuals never even realise they have a retroverted uterus because it doesn’t cause any obvious symptoms. But if you’re among those who do experience signs, here’s what you may notice:- Painful periods (dysmenorrhea): You may have more severe menstrual cramps than normal. That tilt of the uterus may cause more pelvic pressure, which makes your periods more painful.
- Lower back pain: The criticism of your uterus resting on your spine may also cause undue pressure on your back region, particularly during menstruation. Back pain, such as a feeling of aching or sharp pain, which increases with your cycle, may be associated with a retroverted uterus.
- Pain during sex (dyspareunia): One of the more distressing symptoms is pain during deep vaginal intercourse. The tilted uterus may cause discomfort or sharp pain, especially in certain positions.
- Urinary symptoms: You might experience the urge to pass urine more frequently or the inability to empty your bladder. Extremely, the uterus could push on the bladder, leading to urinary problems.
- Bowel discomfort: A few cases complain of mild constipation or bowel movement pain. This occurs as the tilted uterus rubs against the rectum.
- Fertility concerns (in rare cases): The majority of individuals possessing a retroverted uterus can conceive regularly. However, when your uterus is tipped due to some disorders, such as endometriosis or inflammatory pelvic disease, it can impede fertility.
- Visible belly bulge: In rare instances, particularly when the uterus is enlarged (by fibroids or a fetus), you might feel a small bump in the lower belly.
What Causes the Uterus to Tilt Backwards?
A retroverted uterus can be:- Congenital: You were born with it.
- Due to Pregnancy: Sometimes, after childbirth, the ligaments that support your uterus may weaken, causing it to tilt backwards.
- From Health Conditions: Conditions like endometriosis, pelvic inflammatory disease (PID), or fibroids can cause scarring and adhesions, pulling the uterus backwards.
Understanding the cause is important because it helps your doctor determine if any treatment is necessary.
How Is a Retroverted Uterus Diagnosed?
The location of the uterus cannot be determined solely based on the way you feel. A medical examination is required for the diagnosis. This is how your doctor can detect a retroverted uterus:1. Pelvic Exam
A routine pelvic exam involves your doctor testing the size, shape, and position of your uterus by gently touching it through the vaginal wall and the abdomen. When the uterus appears to be angled backwards, it can be suspected to be retroverted.2. Ultrasound
Your doctor may prescribe a pelvic ultrasound to confirm the diagnosis. This is an imaging test that does not involve pain, as sound waves are utilised to give a picture of your uterus. It can reflect the location of your uterus. There are two types of ultrasound used:- Transabdominal ultrasound: A probe is moved over your lower belly.
- Transvaginal ultrasound: A small probe is inserted into the vagina to get a clearer image.
3. MRI Scan (in rare cases)
If needed, especially when other conditions are suspected (like endometriosis or fibroids), an MRI scan may be done to get a more detailed picture of your pelvic organs.When Should You See a Doctor?
You should visit a gynaecologist in case you have been experiencing some unusual symptoms, such as pain during intercourse, difficulties in urination, or terrible back pain when you get your period. Although a retroverted uterus on its own may not always require any treatment, other underlying conditions may be causing this, and thus, it is important to eliminate them.Having a retroverted uterus does not typically present a cause of concern. However, in case of pain or abnormal symptoms, inability to conceive, it is necessary to consult a specialist. An incorrect diagnosis and inadequate support may worsen this condition. However, with a correct diagnosis and proper help, you can manage this condition and still lead a normal life.
FAQs on Symptoms and Diagnosis of a Retroverted Uterus
- Can a retroverted uterus affect my chances of getting pregnant?
Generally, it does not have a significant impact on fertility. But when it is the result of pre-existing conditions such as endometriosis or pelvic inflammatory disease, it may need treatment to enhance the chance of fertility. - Is a retroverted uterus dangerous?
No, it is harmless, generally. However, when symptoms appear or are associated with other medical conditions, you will require treatment or lifestyle changes. - Can pregnancy change the position of a retroverted uterus?
Yes, in most instances, the expanding uterus during pregnancy protrudes forward as it expands, particularly in the second trimester.
