The position of the uterus Anteflexio: the normal position of the uterus in the pelvis
Uterus — a muscular organ of childbearing women. Its location in the pelvis individually and depends on intra-abdominal pressure, fullness bowel and bladder, changes in the tissues of the pelvic floor and other factors. People, faced with the problem of displacement of this organ, are wondering: what does the position of the uterus anteflexio, if this is the norm and the reasons are formed pathological bends?
Types of position of the uterus in the pelvis
The location of the uterus in women of childbearing age is defined in standing position after the complete emptying of the bowel and bladder.
Types of position of the uterus in the pelvic cavity:
|Anteversio — normal position of the uterus in the pelvis||The body is in the middle of the pelvis, equidistant from its walls, the sacrum and the pubis between the bladder and intestine. Uterine body tilted forward.|
|Retroversio||The body rejected posteriorly|
|Lateroversio||Body turned to one of the side walls of the pelvis (sinistroversio to the left, dextroversio to the right)|
|Hypoplasia||Infantilism, underdevelopment of the body|
In its natural state between the neck and body of the uterus must be an angle greater than 90 degrees, facing forward, its top is located at the level of the internal OS. In case of nonstandard situation appears inflection, and the proportions vary.
The types of bends of the body of the uterus against the neck:
|Name||The direction of inflection|
|Anteflexio (antiflexion)||A tilted uterus forward. Between her body and the neck forms an obtuse angle (normal), disease it is increasing.|
|Retroflexio (retroflexion)||The neck is tilted forward, and the body of the uterus posteriorly. Between them is formed an acute angle, turned back.|
|Lateroflexio||The inflection to one of the lateral walls of the pelvis|
Causes and consequences
Congenital position of the uterus in which its body is angled anteriorly (anteflexio), due to the characteristics of fetal formation of the embryo. In this case, the woman does not experience discomfort in daily life, has no problem conceiving and carrying a child.
No symptoms non-standard location of the uterus is due to the fact that the growth of the body, the pelvic organs are not interfering with each other.
Congenital moderate retroverse of the uterus is also not accompanied by symptoms and is not responsible or fertility problems.
The pathological bends of the uterus anteflexio and retroflexio is for the following reasons:
- getting mechanical damage of the genital organs;
- sudden hormonal changes;
- infectious diseases transmitted through sexual contact;
- the inflammatory process in the uterus;
- botched surgery;
- heavy labor;
- regular constipation;
- incorrectly performed abortions;
- excessive exercise, playing heavy sports.
Pathological inflection after a failed surgery or a sharp weakening of the muscles holding the uterus, accompanied by:
- feelings of heaviness and pain in the groin area caused by the pressure of the uterus on the adjacent organs;
- the failure of the menstrual cycle;
- frequent urging to urinate;
- severe pain during menstruation;
- discomfort during intimacy and walking;
- problems with conception because the resulting inflection hinders the passage of sperm into the uterus and fallopian tubes.
If you notice such signs should see a specialist.
Displacement of the uterus
The disposition of the uterus — change the location of her body and the neck about the middle of the pelvis. The body may be displaced forward (antepositio), side (lateropositio), ago (retropositio). Additionally, the displacement of the uterus may occur vertically, i.e. it rises or falls.
Due to the weakening and damage to the ligaments and muscles holding the uterus in the abdominal cavity, the omission of its walls below the normal level. Often this process is subject to parous women over 35 years old and in menopause — every third.
There are several stages in the development of this pathology:
- Stage I prolapse of the uterus below the normal level, but not beyond the boundaries of the vagina.
- Stage II prolapse, an organ can be beyond the vagina.
- Stage III prolapse — the uterus falls out of the genital slit (genital prolapse).
The lowering of the wall of the uterus is accompanied by certain symptoms:
- drawing pain in the abdomen;
- frequent and painful urination;
- the feeling of a foreign object in the vagina;
- incontinence of urine, especially during physical exertion;
- blood and a whitish discharge;
- pain and discomfort during sex.
Diagnosis and treatment of non-standard positions of the uterus
To determine the pathology of the location of the cervix enough to pass a gynecological examination chair and ultrasound genitalia. Treatment is indicated if a woman experiences severe discomfort or is unable to get pregnant.
As a rule, slight excesses do not prevent pregnancy. In some cases a pair, knowing the direction of the bend of the uterus, recommend certain postures for conception. After delivery, the uterus takes up its proper position.
If the cause of the development of the steel anaflaxia infectious disease or inflammatory process, it is assigned to drug therapy and physiotherapy.
To prevent uterine prolapse is necessary to prevent constipation, avoid lifting heavy objects and strenuous exercise.
Treatment of descending the wall of the uterus in the early stages of cost conservative methods of providing for the performance of certain gymnastic exercises, strengthening the pelvic floor muscles (particularly effective technique Kegel), playing with vaginal balls, wearing specific brace.
In the final stages surgery is performed. During the procedure, the uterus fixed in the pelvis, at the same time by the correction of urinary and vaginal. If there are contraindications to surgery, the patient select the vaginal ring (pessary), made of hypoallergenic silicone. Such a tool after the introduction fixes the uterus in the pelvis. There are combined pessary, which not only eliminate genital prolapse, and urinary incontinence.
“Anteflexio”— a term signifying the normal location of the uterus in the pelvis, in which between the neck and body formed an obtuse angle, facing forward.
For certain reasons these proportions may vary, leading to the development of disease, have similar symptoms with prolapse of the walls of the uterus. If you suspect you need to contact your gynecologist. Treatment of anaflaxia and retroflexion at an early stage, the drug way, while genital prolapse in the later stages require surgical intervention.