Self-esteem and self-love 

Bend of the cervix: symptoms, diagnosis, treatment and prevention. Bend of the uterus: types, causes and consequences. Treatment and prevention Classification: backward bend, left, right and other forms

The bend of the cervix does not always need to be considered as a pathology that needs one or another treatment - in many cases it is a feature of the anatomical structure of the female reproductive system and in no way interferes with her reproductive function and the overall functioning of the body. Moreover, in some cases, the incorrect position of the uterus can cause pain and lead to infertility.

What is pathology

The bend of the uterus is the deviation of the organ from the traditional anatomical position that it should occupy. This pathology can be both congenital and the result of a number of reasons, which will be discussed below.

The highest chance of falling into the risk group for developing this pathology remains in girls who by the time of the onset of puberty had an underdeveloped genital apparatus. In addition, a high probability of uterine inversion is present in asthenic young women with underweight, underdeveloped skeleton and muscle mass deficiency.

There are movable and fixed options for bending the uterus. The first one develops as a result of various physiological (asthenia) and gynecological factors - childbirth, infectious diseases, etc., and the second, as a rule, is the result of the formation of adhesions.

An improperly located organ can put pressure on neighboring organs located in the small pelvis. In addition, its unnatural position creates an obstacle to the way of spermatozoa into the fallopian tubes, which can lead to permanent infertility.

Causes and factors for the development of the disease

As already noted, the bend can be congenital and acquired. Congenital pathology is the result of a violation of intrauterine maturation of the fetus and for the most part has small deviations from the norm. Women with this form of bend can become pregnant and not even guess about the pathology, which in most cases spontaneously disappears after childbirth.

Acquired bending of the uterus has a less favorable prognosis. Among the causes of the disease, the following should be indicated:

  • advanced sexual infections;
  • inflammatory processes of the organs of the reproductive system and other organs of the small pelvis;
  • surgical operations, subsequently causing adhesions;
  • weakness of the muscular-ligamentous apparatus of the uterus;
  • benign and malignant neoplasms of the female genital area, intestines, bladder.

Options for the location of the uterus in the pelvis

Gynecologists use the following classification of uterine bend:

  1. retroflexia - backward deviation towards the rectum;
  2. anteflexia - a moderate inclination anteriorly towards the bladder;
  3. hyperanteflexia - a strong forward inclination;
  4. anteversion - a sharp inclination anteriorly, which also causes a shift in the location of the neck;
  5. leteroflexia - curvature of the organ to the side towards the left or right ovary.

In addition to the bending of the uterus, sometimes there is a simultaneous turn of her body around its axis, which significantly complicates the picture. In gynecological practice, the first and second variants of the pathology are most often recorded.

How can the disease manifest itself?

With a slight deviation from the norm, the bending of the uterus does not manifest itself in any way. In more severe cases, the following symptoms may be present:

  • dysmenorrhea (menstrual pain);
  • increase or decrease in the volume of separated blood during menstruation;
  • blood clots during menstruation;
  • spotting in the middle of the cycle;
  • discomfort during intercourse;
  • constipation;
  • frequent urination;
  • miscarriages;
  • infertility.

Basic diagnostic methods

Diagnosis is established with the help of a gynecological examination of the patient. In addition, this procedure allows you to determine the degree of mobility of the body of the uterus.

To clarify the location and nature of the displacement of the uterus, a woman is also recommended an ultrasound examination, including transvaginal. In addition, an ultrasound examination will provide an opportunity to assess the condition of neighboring organs and their possible impact on the uterus.

Treatment of pathology

It is necessary to treat the bend of the cervix only in those cases when it prevents the onset of pregnancy, causes a risk of abortion, causes discomfort to the patient, or provokes other undesirable phenomena - constipation, menstrual disorders, etc. In all other cases, this condition is considered an anatomical feature that does not require treatment.

To combat the bend of the uterus are used:

  • drug therapy - treatment of inflammatory diseases of the female genital organs and other organs of the small pelvis with antibacterial and anti-inflammatory drugs, including steroids;
  • physiotherapy - UHF, mud therapy, ozokeritotherapy, exercise therapy, Kegel exercises, gynecological massage;
  • surgery - in most cases, this is a laparoscopic method for eliminating adhesions that change the anatomical position of the uterus;
  • folk remedies that can help fight inflammatory diseases of the female genital tract.

Medical therapy

Antibacterial agents are used to treat inflammatory diseases of the female genital area, which can be the cause of the bending of the uterus. Depending on the sphere of influence, they can be divided into the following groups:

  • tetracyclines (Doxacycline);
  • macrolides (Summamed);
  • nitromidazoles (Metronidazole);
  • penicillins (Ampicillin);
  • lincosamides (Clindamycin).

Type of drug, dosage, regimen, etc. is the prerogative of the attending physician. Self-medication with antibiotics is categorically unacceptable, because instead of benefit, you can complicate your condition!

In addition to antibacterial drugs, steroid drugs, such as Dexamethasone, are also used to combat the inflammatory process.

Physiotherapy

UHF, mud therapy and ozokerite therapy are methods aimed at intensifying blood circulation in the pelvic organs, resulting in activation of recovery processes in the tissues of the female genital organs. These methods of physiotherapy have proven themselves in the treatment of inflammatory diseases and their consequences.

exercise therapy

A set of therapeutic exercises for bending the uterus should be selected individually by a specialist in exercise therapy, depending on the position of the patient's organ. So, for example, when the uterus is tilted back, the basis for performing the exercises will be the knee-elbow position or the position lying on the stomach, and when bending forward, the position on the back. A properly designed set of exercises helps the uterus to gradually fall into place under the influence of its own weight.

In combination with exercises that help return the uterus to its place, exercises are usually used to normalize intestinal motility.

Kegel gymnastics

This gymnastics has a positive effect on the restoration of the muscular-ligamentous apparatus of the uterus, which is designed to hold the organ in a certain position. Here are the main techniques of this technique:

  1. Alternate contraction of the pelvic floor muscles. Exercise must be done 3 times a day, 10 times.
  2. Similar movements must be done with tension retention for 7-10 seconds.
  3. The tension of the muscles of the vagina from the bottom to the top, followed by their relaxation in the reverse order.
  4. Alternate contraction of the muscles of the vagina, urethra and anus.

Exercises should be performed in various poses - standing, sitting, lying, squatting, in the knee-elbow position.

Gynecological massage

Gynecological massage can, in some cases, help a patient with a bend in the cervix to do without surgery. This type of therapy is able to eliminate minor adhesions, thereby restoring the correct anatomical location of the organ. In addition, the normalization of blood circulation, which is the result of massage, increases the tone of the muscular-ligamentous apparatus of the uterus. The procedure can eliminate infertility and reduce the possible risk of premature termination of pregnancy.

Gynecological massage is performed on an outpatient basis. The gynecologist performs the procedure simultaneously from the side of the vagina and the abdominal wall. The number of procedures may vary depending on the condition of the patient.

Massage has certain contraindications:

  • infections of the genitourinary system;
  • inflammatory diseases in the acute phase;
  • menstruation;
  • tumors of the pelvic organs.

With congenital bending of the uterus, the need for such a massage, as a rule, does not arise.

Surgery

To eliminate adhesions, in the absolute majority of cases, a sparing laparoscopic method is used, when adhesions are dissected through several punctures in the anterior abdominal wall using special instruments equipped with fiber optic optics, leading to displacement of the uterus. It is extremely rare that with an extensive adhesive process, it is necessary to carry out traditional surgical intervention with a dissection of the abdominal wall.

Traditional medicine

Douching with solutions that have pronounced astringent properties will help the uterus to take the correct position. Here are some recipes:

  1. Oak bark. Boil on low heat for 20 minutes a tablespoon of oak bark in a liter of water, then strain, add cold boiled water to the full volume and use for douching. The course of treatment is 2 weeks.
  2. Tannin. To prepare the solution, it is enough to dissolve a teaspoon of tannin (it is sold in a pharmacy) in a glass of water. Douching in the morning and evening for 14 days.
  3. St. John's wort. Pour three tablespoons of grass with two liters of boiling water and wrap for infusion, then strain. The solution is ready. Douching should be done twice a day for 7-14 days.

Moreover, you need to know that douching should not be carried away uncontrollably, since they can disrupt the state of the vaginal microflora.

Why and in what cases is it necessary to blow out the fallopian tubes:

Prognosis and prevention of the disease

With a congenital bend of the uterus, the patient may not need treatment at all, and in order to become pregnant, she simply needs to change the option of sexual contact. To facilitate the penetration of spermatozoa into the uterus, a woman is recommended to use the knee-elbow position.

In the case when the bend has developed due to a number of reasons discussed above, the use of a whole range of therapy methods can give a good result.

  • healthy eating;
  • active lifestyle with regular dosed physical activity (exercise therapy);
  • sleep on the stomach or on the back, depending on the nature of the location of the uterus;
  • a ban on lifting weights;
  • timely visits to the toilet;
  • regular examinations at the gynecologist;
  • timely detection and treatment of gynecological pathologies;
  • intimate hygiene.

What is the bend of the cervix and how does it affect pregnancy (video)

Do not rush to panic when you learn about the bend of the uterus. In most cases, the prognosis of this pathology is quite favorable. The main thing is to find out the cause of your pathological condition and begin its treatment. And in many cases, it is enough just to competently approach the issue of conception and no treatment is required at all.

Specific and rather difficult to eliminate gynecological pathologies are anomalies in the location or structure of organs. Such a pathology can be of varying severity, sometimes it is congenital, in other cases acquired. Depending on its characteristics, the effect on pregnancy, symptoms and other health effects may differ. It is to this group that the bend of the uterus belongs, which will be discussed in this material.

Definition

What is uterine inversion? This is a condition in which deviations from the normal location of this organ in the body of a woman are observed. The bend is often congenital, but it can also form in adulthood for one reason or another (for example, as a result of an inflammatory process). Often, this arrangement of the body of the uterus does not pose a serious health hazard (especially when it is congenital). How this state looks like can be seen in the photo and diagrams in the material.

But in rare cases, the condition may affect the likelihood of onset and successful pregnancy, therefore, when such a condition is detected for the first time, the doctor may give some recommendations. In general, the condition is not considered acute.

Causes

Why does the uterus bend? Many factors influence the formation of this state. Depending on what caused this feature, adequate treatment is prescribed (or not prescribed). In addition, depending on the causes of the pathology, it depends on how strongly its symptoms will manifest itself, and what consequences it will have. Currently, all the causes of this condition in a woman are divided into two large groups: congenital and acquired.

Congenital

Congenital bending of the uterus develops even at the stage of intrauterine development and may progress or become less noticeable during the development of the girl's reproductive system. Such a volvulus is usually diagnosed at the very first diagnostic ultrasound of the reproductive system.

It is important to understand that in this case, the curved uterus is not a pathology, but a feature - a feature of the location of the organ for a particular woman. This condition is not acute, often does not cause symptoms, does not affect well-being and pregnancy, and does not require therapy (almost always). This feature in almost 100% of cases is not capable of causing any gynecological problems.

Acquired

If the bend of the uterus was initially absent and formed only in adulthood, then this condition can be considered pathological, because it is formed because the pathological process develops. What exactly are the pathologies that cause this? Often these are adhesive processes in the pelvis and in the abdominal cavity to a lesser extent). In this case, the adhesions "tighten" and "tie" the uterus to other organs and / or the abdominal wall. As a result, a bend of the cervix or its entirety is formed.

This condition is considered abnormal and requires treatment. It can cause symptoms and affect the likelihood of pregnancy and successful pregnancy, as well as health status. In this case, treatment requires both the process that caused the formation of adhesions, and the bending of the uterus itself.

Kinds

Curvature can be of different types. It differs both in the degree of severity and in the very nature of the violation - the pathological placement of the organ anatomically. Groups are also sometimes distinguished depending on what comorbidities take place. There are three main types of bend according to the location of the organ. At the same time, quite a lot of subtypes are distinguished in some of these types.

Retroflexion of the uterus

A fairly rare occurrence in which the uterus is bent back. It is much less common than the forward bend. Therefore, no subtypes are even distinguished within this type. Therefore, if a uterus with a backward bend is diagnosed (according to the results of ultrasound), then they speak of development - a condition in which the bottom of the uterus, its neck or body is tilted back and anatomically located so that it seems to be directed away from the abdominal wall. Retroflection can be both congenital and acquired (more often). They speak of hyperretroflexia when the uterus is very strongly deflected posteriorly (in fact, this is not a subtype, but a definition to indicate the severity of the pathology or feature).

Curvature of the uterus anteriorly

This type of violation of the standard anatomical position of the organ is said when it is located symmetrically, but the bottom, neck, any other part of it or its entirety are located in such a way that they seem to be inclined or tend to the anterior abdominal wall. It is this type that occurs most often. It has several subtypes, depending on the exact location of one or another structural part of the uterus.

  1. . Another name for the condition is anteflexio. With it, the bottom of the uterus is located at the top and anatomically located so that it is directed forward - towards the abdominal wall. In this case, the cervix and its vaginal part are located much further from the peritoneum, they move back from it. In this case, an obtuse angle is formed between the main body of the uterus and its neck. It is changes of this nature that occur most often with this feature. It is important to remember that such an arrangement can be both congenital and acquired as a result of a pathological process.
  2. . Another name for the singularity is anteversio. In this case, according to the results of ultrasound examination, the uterus is bent anteriorly. That is, as in the previous case, the bottom of the organ is at the top and is located towards the abdominal wall. But the vaginal part does not move back significantly - it is, more or less, in line with the bottom and also directed towards the abdominal wall. In this case, an obtuse angle is formed between the cervix and the body of the uterus, as in the previous case. The condition can also be acquired or congenital.
  3. . This is a state that is completely analogous to anteflexion in terms of the type of change. However, the prefix "hyper", as in the case of hyperretroflexia, indicates the severity of the changes. Thus, this term defines a very pronounced anteflexia. In this condition, the body of the uterus is tilted forward so much that an obtuse angle is formed, open posteriorly.

Curvature of the uterus to the side

There are many types of changes that fall into this category. First of all, this is a significant deviation of the uterus to the right or left of the axis of symmetry, that is, its asymmetric location. This condition is quite rare (less than other types). And more often it is congenital than acquired. This state is called.

In addition, this group can be attributed to various deviations in the location of the uterus relative to its axis. For example, torsion, as well as any other manifestations of asymmetry.

signs

Signs of a tilted uterus are often uncharacteristic. Usually, the following clinical picture is formed:

  • Pain during menstruation;
  • A significant increase or decrease in the volume of blood secretions during menstruation;
  • Less often - discomfort and pain;
  • It is extremely rare and only in combination with a fibroid or tumor that compression of neighboring systems is observed, manifested in frequent urination, constipation, difficulty defecation, etc .;
  • Difficulties with pregnancy may develop, but rather infrequently;
  • Complications during pregnancy - miscarriages, premature births at a very short time.

Usually, the congenital condition is diagnosed quickly. After the inflammatory process, adhesions form gradually. As a result, the development of this process can be skipped. For this reason, it is necessary to carefully monitor the symptoms described above in all women who have a history of inflammatory processes in the reproductive system.

Diagnostics

How to determine the bend of the uterus? Usually, the diagnosis of the feature does not cause difficulties. It is often found during a routine gynecological examination, during a vaginal examination. Also, its presence becomes apparent during an ultrasound examination. However, this feature of the body and cervix can be best determined using a vaginal ultrasound probe.

Complications

What is dangerous bending of the uterus? This can be judged on the basis of what reasons it was caused. As mentioned above, a congenital feature is not a pathology. Often, if the process is congenital, then it does not have any negative health consequences and does not affect pregnancy in any way. It does not need to be treated, it is not capable of causing any consequences.

The situation is different when it comes to pathology acquired under the action of the adhesive process. What threatens the state in this case? Severe pain is constantly present, moreover, the bend can develop so much that it leads to infertility. A congenital feature, as a rule, is not so pronounced.

Pregnancy

A congenital feature almost never affects the likelihood of conception. But the acquired one can become an obstacle, since the bend can be so pronounced that it will prevent the passage of the spermatozoon into the uterus and / or mechanical gestation. In addition, the inflammatory process that caused the formation of adhesions has an extremely negative effect on pregnancy. For example, endometritis often leads to infertility, miscarriages in the early stages.

Treatment

Is uterine tilt treated? There are methods of getting rid of pathology, but only if it is acquired. A congenital feature of treatment does not require.

How to treat the condition if it is acquired? Usually, the process of dissection of adhesions is carried out laparoscopically. Punctures are made in the abdominal wall with a laparoscope, instruments are introduced through it, with the help of which the adhesions are dissected and the vessels are coagulated.

In the presence of an inflammatory process, it is possible to cure the bend of the uterus only by treating it first with antibiotics. UHF and other physiotherapy procedures are also prescribed for resorption of small adhesions. Some can be done at home.

Popular


Deviation of organs from their natural location, their displacement along the axis is a common condition that develops for a number of reasons. The reproductive system is no exception, in which deviation is most common ...

The bend of the uterus is a pathology in which the female organ is shifted relative to the position of the cervix or bent in any direction. How should the uterus lie normally? by location in the middle of a small…


After giving birth to one or more children, many couples decide to stop and do not plan to become pregnant again. The most popular method of contraception for women who have given birth is the intrauterine device. Arriving at an appointment with a gynecologist with ...

Unfortunately, such an anomaly as the bending of the uterus among the female is quite common. The most unpleasant thing is that such a diagnosis can be made to every woman, regardless of age category and lifestyle. It is generally accepted that such a phenomenon is not dangerous to life and health, but is it?

It is impossible to get ahead of such a deviation on your own, since there are no manifestations during the bending of the uterus.

How to find out if a woman has such a problem?

In fact, this is a rather unpleasant anomaly, which carries a number of negative consequences. The most basic among them are:

Difficulty conceiving a baby. With such an anomaly, the percentage of successful conception is reduced to 20%.

Very painful menstrual period. The woman is in severe pain. Periods last longer than average. There are times when the pain is so severe that a woman needs additional medical care.

Pain during intercourse, which is accompanied by discomfort.

In the event that you find yourself with similar symptoms, be sure to consult a doctor, you may have a bend in the uterus. Ultrasound will help to accurately determine whether a woman has this deviation.

The bend of the uterus has its own characteristics. It can be left-handed, right-handed or even rotated around its axis.

Curvature of the uterus. Causes

As a rule, the very cause of the bend of the uterus is almost impossible to determine. There are too many factors that can cause this anomaly.

But here are the most common reasons:

Weak muscles of a weak pelvis.

Possible tumors.

hereditary anomaly.

Endometriosis of the uterus.

Many women have a question - is it possible to conceive a child with such a physical deviation? Yes and no. It all depends on the degree of bend and its type. If the deviation is extremely strong, then it is necessary to apply surgical intervention.

Prevention and assistance

If you decide to conceive a baby, find out if you have a tilted uterus. An ultrasound will give you an accurate result. If it is positive, do not be discouraged, for such cases, doctors advise taking a certain position during sex - knee-elbow. It is considered the most effective in medical practice. It is also advised that after the intercourse itself, a woman stay in this position for up to 10 minutes.

What needs to be done so that the bend of the uterus does not develop?

Here are some simple preventative ways to help you stay healthy:

empty the bladder in time;

Refuse to do sports that are classified as power;

Periodically do prophylaxis for constipation;

In time to treat and treat all inflammatory processes that are associated with the bladder.

As you can see, this deviation is not so terrible. If you apply for a check-up in time and periodically conduct an examination, and then apply a sufficient amount of effort, any woman with such a diagnosis has every chance of becoming a mother.

In our clinic you will be able to do an ultrasound quickly and efficiently. Competent specialists will give recommendations on how to get rid of the problem. The best qualified employees work in our center, and they have at their disposal the most modern equipment.

Quick page navigation

The uterus of a woman does not remain absolutely static throughout her life. As a result of the influence of a variety of factors, it can change its position, and, in most cases, it is completely asymptomatic.

In about 18% of women, such displacements are expressed in the form of a bend of the uterus, which occurs either backwards or anteriorly, and can also be left-sided or right-sided. A woman can almost never determine the symptoms of this pathology on her own, but a bimanual examination and ultrasound results can indicate its presence.

The bend of the uterus is an abnormal location of the genital organ, in which an acute angle can form between the body of the uterus and the cervical canal.

Bend of the uterus - causes and consequences

Usually, the consequences of bending the uterus to one side do not threaten the life and health of a woman. But in some cases, it can cause infertility and diseases of the pelvic organs. In order to complete fertilization, sperm must first enter the uterus from the cervical canal, and then into the fallopian tubes.

But with a serious bend, they meet a mechanical obstacle in their path - an inflection. This circumstance does not give them the opportunity to fertilize the egg and causes infertility.

A tilt of the uterus may indicate the presence of a severe infection in the patient, which led to the displacement of this organ from its anatomical position. In this case, you should carefully examine the body for STDs.

Causes of the bend

Incorrect position of the uterus can be both congenital and appeared during life. Gynecologists identify a number of factors that contribute to the occurrence of this anomaly:

  • Intestinal diseases that have remained untreated for a long time.
  • A malignant tumor of an organ that is in close proximity to the uterus and compresses it.
  • Congenital angulation of the uterus backwards.
  • Intense physical activity, as a result of which the body of the uterus gradually changed its position.
  • Inflammatory process in the pelvic organs.

Scientists have not yet figured out why the anomaly is congenital, but it is known that this variant of its occurrence is the safest and will cause almost no problems either when conceiving a child or during sexual contact.

If the bend appeared as a result of physical exertion or was already present in the girl from birth, then the woman may not be aware of the presence of this disease until the moment of medical examination.

In cases where the reproductive organ is displaced due to inflammation, malignant neoplasms and there is an acute angle at the point of attachment to the cervix, the symptoms of uterine bending are as follows:

  • Change in the nature of menstrual flow: they become painful, profuse and cannot end for a long time.
  • Pronounced pulling sensations before each menstruation for 2-3 days.
  • Pain during sex, especially in the “partner on top” position
  • Frequent urination (especially when the uterus is bent anteriorly and left-sided bend).
  • Purulent discharge, intermenstrual pain (if the inflammatory process became the cause of the bend).

Another symptom is infertility, which is also a consequence of the displacement of the reproductive organ. But in half of the cases, the consequences of bending are not an obstacle to the onset of pregnancy and do not require preliminary correction.

Types of uterine bend + anterior and posterior bend

Normally, the bottom of the uterus should be adjacent to the anterior abdominal wall, the angle between the body of the uterus and the cervical canal is obtuse and also opens anteriorly. The abnormal location of the reproductive organ has the following types:

  1. Retroflexion - involves the displacement of the body of the uterus backwards, and the cervix is ​​deflected anteriorly. As a result, the organ is constantly subjected to pressure from intestinal loops, which can provoke, and in the absence of therapeutic measures, prolapse. This pathology is the most common, in 70% of all displacements gynecologists have to carry out pregnancy in patients with backward bending of the uterus.
  2. Dextroversion - involves the displacement of the uterus to the right, and the cervix - on the contrary, to the left.
  3. Synistroversion - involves the displacement of the uterus to the left, and the cervix to the right.
  4. Hyperactreflexia - involves a strong displacement of the organ, a complete bend, folding the uterus in half.

In difficult cases, a bend of the uterus is revealed, in which the organ is twisted around its axis several times - this poses a serious threat to carrying a pregnancy and to conception.

Treatment of the bend of the uterus, drugs

Approximately half of the cases of uterine bends do not require treatment. The abnormal location does not prevent conception, and as the fetus grows, the reproductive organ straightens and occupies the correct position.

The only recommendation for such pregnant women will be to observe a regimen of increased physical activity. It's not about jogging, lifting weights or working on the press. In order to help the uterus to stand in an anatomically correct position, the expectant mother should pay attention to walking and calm gymnastics for pregnant women, if there are no contraindications for this in the form of a threat of miscarriage or placenta previa.

If the cause of the bending of the uterus was the inflammatory process in the pelvic cavity, then the doctor should prescribe a treatment that will help eliminate it:

  • Antibacterial drugs - antibiotics in tablets, injections or vaginal suppositories, depending on the severity of the inflammation. To determine the most appropriate antibiotic, a special analysis is first taken from the patient.
  • Anti-inflammatory drugs - can be prescribed simultaneously with antibacterial drugs. They will enhance their effect, relieve swelling from the pelvic organs, which are affected by the inflammatory process.
  • Physiotherapy procedures - aimed at reducing adhesive formations that can fix the wrong position of the uterus. The most common procedure is electrophoresis with the addition of special medications that promote the resorption of adhesions.
  • Surgical intervention - is used extremely rarely, in cases where adhesions are not removed conservatively or if the uterus is strongly twisted around its axis, or bent in half.
  • Gynecological massage - helps with a simple displacement of the genital organ and in the event that there is no inflammatory process in the small pelvis.

Even a severe bending of the uterus will not interfere with pregnancy if its correction was carried out on time.

The best poses for conception when the uterus is bent

The abnormal location of one of the most important organs of the reproductive system will somewhat complicate conception, but will not make it impossible.

Due to the fact that the angle between the body of the uterus and the cervical canal has changed, it will take longer for sperm to enter the fallopian tubes and complete fertilization.

But the longer they stay in the vagina and cervix, the fewer of them will be left by the time they reach the egg. It's all about cervical mucus, which kills sperm, mistaking them for foreign bodies dangerous to a woman's health.

Therefore, a feature of the postures with the bend of the cervix are those positions of the woman's body during intercourse that contribute to the maximum penetration of sperm into the vagina.

Pose "woman on top"- can be used if the bend does not provoke pain during sex. Immediately after the release of the seed, the woman should take a horizontal position. If she is diagnosed with retroflexion, then she should turn on her stomach, if dextroversion - on her left side, if sinistroversion, then on her right side.

Pose "man behind"- can be used as a position for conception when the uterus is bent backwards. In this case, the neck will be rejected anteriorly, therefore, during sexual intercourse, the woman will not experience pain. If the partner has good sperm counts, then the chances of fertilization will be high.

The length of the penis is also important: the shorter it is, the longer the distance the spermatozoa will have to overcome after the release of the seed. Another tip on how to get pregnant when the uterus is bent backwards is that during ejaculation, a woman should lower her shoulders and head below the level of the pelvis and stand in this position for several minutes after intercourse.

The most important condition is to maintain a horizontal position for an hour after intercourse. This will give the sperm a better chance of successfully reaching the fallopian tubes.

Prevention

It is impossible to prevent a hereditary bend - doctors can only correct its consequences if necessary.

To prevent the displacement of the reproductive organ from its anatomical position due to infections, it is necessary to pay attention to the nature of the discharge from the genital tract, visit an ultrasound scan and a gynecologist's office twice a year, where the doctor will take a smear to study the vaginal flora.

Approximately 25% of women who have problems conceiving a baby learn about the bend of the cervix. Such a pathology, thanks to numerous myths, causes panic. Indeed, with the bending of the uterus, the likelihood of conception is significantly reduced. But the right approach to the problem and compliance with the doctor's recommendations will allow a woman, even with an abnormal structure of the genital organs, to enjoy the joy of motherhood.

Description of pathology

The bend of the uterus is a certain position in which her body deviates in any direction in relation to the cervix. With a normal anatomical structure, the uterus is localized in the small pelvis, occupying the space between the large intestine and the bladder. In this case, it is placed parallel to the vagina. The stable position of the organ is ensured by special ligaments - dense strands.

It is thanks to the placement of the uterus and vagina in the same plane that the process of conception is easy, because spermatozoa have no obstacles in their way.

The body of the organ is slightly tilted forward. The normal physiological angle between it and the cervix is ​​120–180 degrees. Vibrations of the organ provoke various degrees of filling of the bladder or colon.

If a woman has an angle of inclination greater than 180 or less than 120 degrees, the body of the uterus is displaced to the left or right of the vertical axis, then gynecologists diagnose a bend.

At-risk groups

The pathological position of the uterus can be congenital. Such an anomaly is an anatomical feature of a particular patient. But sometimes the bend of the uterus develops in a woman or girl after birth.

There is a high risk of anomalies in individuals:

  • suffering from inflammatory processes (sluggish, long-term) in the reproductive system;
  • who underwent surgical interventions in the pelvis and peritoneum;
  • who had many childbirth, occurring with complications;
  • wearing an intrauterine device for a long time;
  • who have undergone many abortions, which were accompanied by inflammation;
  • lying down for a long period (as a result of illness);
  • suffering from tumor formations in the small pelvis;
  • faced with a sharp weight loss (against the background of hard work, poor nutrition).

Varieties: deviation backwards, anteriorly, to the sides and other forms of curvature

Depending on the localization of the organ, specialists distinguish the following types of pathology:

  1. Anteflexia. This is the most common position of the uterus. The organ is located near the bladder. Its bottom is directed anteriorly and upwards. The neck is backwards and downwards. With the body of the uterus, it forms an obtuse angle, anteriorly open. This structure is observed in nulliparous patients. It is considered the norm. After childbirth, the uterus takes its standard position.
  2. Anteversion. Pathology is very similar to anteflexia. But with this structure, both the body of the uterus and the cervix deviate. They line up.
  3. Hyperanteflexia. Such a structure implies the deviation of the body of the organ anteriorly. With hyperanteflexia, the posterior angle opens.
  4. Leteroflexia. This pathology is characterized by a sharp deviation of the uterus to one side (left, right). The body of the organ is directed towards one ovary.
  5. Retroflection. The body is directed towards the rectum. The uterus is tilted backwards.

The most common is anteflexia or anteversion.. Sometimes experts diagnose not only the bend, but also the rotation of the organ around the axis (the uterus is twisted).

Depending on the location of the uterus relative to the cervix, several types of pathology are distinguished.

The bend of the uterus can be of 2 types:

  1. Fixed. The body of the organ is in a stationary state. It is fixed in relation to other organs and the neck.
  2. Mobile. There are displacements of the body of the uterus. A change in position relative to other organs of the small pelvis and neck is observed during movements or changes in the patient's posture.

Causes of pathology

The congenital bend (or primary) is laid down during fetal development. This phenomenon occurs in women of short stature and asthenic physique. In most cases, the pathology is genetic in nature. Such a structure practically does not cause discomfort to a woman and often goes away on her own after childbirth..

Acquired pathology (or secondary) is formed under the influence of a number of processes occurring in the body, such as:

  • infantilism (underdevelopment) of the reproductive system;
  • hormonal disorders;
  • peritoneal injury;
  • the formation of adhesions, scars;
  • inflammation, infections of the reproductive system (endometritis, salpingitis, cervicitis, adnexitis, pelvioperitonitis);
  • weakness of supporting tissues;
  • postoperative complications;
  • the appearance of neoplasms in the pelvis;
  • difficult childbirth;
  • nervous exhaustion;
  • chronic stress;
  • constipation.

Some people are sure that the bend of the uterus can form in a girl if the parents put the baby on the ass early. Scientists have proven that there is no connection between planting a baby on the buttocks and a violation of the development of the genital organs. This is a common myth.

Typical symptoms of a bent uterus

Pathology may not cause any discomfort in a woman and be completely asymptomatic. The patient learns about the anomaly only at the appointment with the gynecologist.

But sometimes there are such complaints:

  1. Pain during menstruation. Discomfort is provoked by stagnation of blood in the uterine cavity, its incomplete emptying. This leads to copious secretions or, conversely, meager. Blood clots may be observed.
  2. Pain during intercourse. This symptom occurs if the bend is caused by the formation of adhesions. During sex, they stretch, causing pain.
  3. Frequent urination. This phenomenon is observed with anteflexia, anteversion, in which the uterus presses on the bladder. Frequent urges can provoke tumors.
  4. Constipation. If the uterus deviates towards the rectum, then it is able to squeeze it. This leads to difficulties in the defecation process.
  5. Infertility. An abnormal structure can block the path for the movement of spermatozoa. Adhesions are another cause of infertility.
  6. Frequent miscarriages. Normal enlargement of the uterus during pregnancy is impossible due to bending. This leads to the death of the fetus and, accordingly, miscarriage.

Diagnostics of the bend of the cervix

The following methods are used to determine the bend:

  1. Analysis of complaints. The doctor establishes in what period the pain occurred during menstruation, copious discharge. What factors preceded violations.
  2. The study of anamnesis. Gynecological diseases suffered by a woman, surgical interventions are analyzed. The doctor will consider the features of the course of pregnancy, childbirth.
  3. The study of menstrual function. The patient should tell when the first menstruation came, what is their duration, frequency. Whether they are accompanied by soreness, how plentiful.
  4. bimanual research. This is a gynecological examination of the genital organs, carried out with two hands. The doctor during palpation (palpation) determines the size of the cervix, uterus, ovaries. During the examination, the soreness of the organs, mobility, and the condition of the ligamentous tissues are determined.
  5. Gynecological examination with the help of mirrors. The doctor visually assesses the condition of the cervix.
  6. ultrasound. Allows you to accurately determine the position of the body of the uterus relative to the cervix.

Differential Diagnosis

Additional research methods are most often prescribed to study the causes that provoked the bending of the uterus.

  1. Bacteriological examination of vaginal discharge. With the help of such an analysis, the presence of infection and the type of pathogen are determined.
  2. Pap test. Taking a Pap smear allows you to determine the presence of atypical cells. This study makes it possible to identify a precancerous or cancerous condition.
  3. Analysis for HPV. A vaginal swab is taken from the patient to determine the presence of the human papillomavirus in the body. This is a fairly common virus that combines many varieties. Some types of HPV can trigger the development of cancer.
  4. Colposcopy. The study involves a detailed study of the walls of the vagina and cervix using a special colposcope device that magnifies the image several times.
  5. Biopsy. A piece of tissue is taken with a special needle, which is studied in detail under a microscope. Such a study is prescribed for neoplasms.
  6. CT scan. A modern study that is recommended for women with suspected tumor formations in the pelvis.

Treatment Methods

Congenital pathology almost never causes much trouble for a woman. She does not need treatment, because this is an individual feature of the structure of the genital organs. Such an anomaly can somewhat complicate the process of conceiving and bearing a child. But in most cases, the long-awaited pregnancy occurs.

The need for therapy arises only if it is established that the bending of the uterus prevents a woman from becoming pregnant.

If the pathology is secondary, then methods are being taken to get rid of the causes that provoked it. Treatment includes the following areas:

  • drug therapy;
  • gymnastics;
  • special gynecological massage;
  • physiotherapy methods;
  • surgical intervention;
  • treatment with folk remedies.

Medical treatment

After examining the patient and establishing the causes of the pathology, the gynecologist will recommend the woman the appropriate medications:

  1. Antibiotics. It is prescribed if the bend is provoked by an inflammatory process. The most commonly recommended medications are:
    • Ampicillin;
    • Rifampicin;
    • Ticarcillin;
    • Piperacillin;
    • Amoxicillin.
  2. Non-steroidal anti-inflammatory drugs. The inflammatory process is often accompanied by severe pain. Therefore, therapy may include such medications:
    • Ketonal;
    • Dexalgin;
    • Brustan;
    • Dolac;
    • Naproxen;
    • Advil;
    • Melox;
    • Oruvel.
  3. Antiviral drugs. Such funds are prescribed for the treatment of infectious pathologies of the genital area. Medications may be recommended:
    • Zerit;
    • Herpes.
  4. Hormonal medicines. These drugs are recommended for those patients in whom the bend of the uterus has developed against the background of a disturbed hormonal background. Therapy may include drugs:
    • Logest;
    • Mercilon;
    • Silest;
    • Marvelon;
    • Femodene;
    • Regulon.
  5. fibrinolytic drugs. These are medicines that provide resorption of small adhesions. Effectively cope with this task drugs:
    • Longidase;
    • Chymotrypsin.
  6. Laxatives. If a woman suffers from chronic constipation as a result of squeezing the uterus of the intestine, then medications may be included in the treatment that normalize the defecation process. The following medications are prescribed:
    • Tisasen;
    • Bisacodyl;
    • Regulax.
  7. Vitamin complexes. To support the body and activate the protective forces aimed at combating inflammatory processes, it is recommended to take vitamins. Patients are suitable for such complexes:
    • Vitrum;
    • Alphabet.

Medicines - photo gallery

Metronidazole is an antibiotic that cures many bacterial infections. Ketorol has analgesic, anti-inflammatory and anti-edematous effects
Acyclovir is an antiviral agent that helps fight genital infections Novinet - a hormonal drug that eliminates hormonal disorders Trypsin is designed to dissolve adhesions Guttalax allows you to establish the process of bowel movement Duovit - vitamin complex for women

Therapeutic exercises with a bent uterus

Physical education with the bend of the uterus provides strengthening of the muscle tissues of the pelvis. This is especially important if the pathology has developed against the background of atrophy. Gymnastics is aimed at restoring the elasticity of the pelvic floor, so that the uterus occupies a standard position.

To achieve positive results, gymnastics must be performed daily.

Simple physical exercises can help a woman cope with an unpleasant anomaly:

Kegel exercises

There is a special set of exercises that allows you to strengthen the weakened muscular apparatus, connective tissues that support the uterus.

Depending on the type of pathology identified, gymnastics will vary somewhat. Therefore, a set of exercises should be selected exclusively by a doctor.

Kegel exercises include the following exercises:

  1. Reduction. It is necessary to contract the muscles of the pelvic floor, and then relax them. This exercise is repeated 10 times. During the day, 3-4 approaches should be completed. Over time, it is necessary to increase both the number of repetitions and the number of approaches.
  2. Elevator. It is recommended to alternately strain each of the sections of the vagina. It is necessary to start from the lowest, gradually rising up. Between each department you need to provide a small pause. Then also gradually relax the muscles.
  3. Compression. The pelvic muscles contract. In this state, they linger for 5-10 seconds. Then comes relaxation.
  4. Waves. Reduce the loop of the urethra. Then strain the entrance to the vagina. The next is the reduction of the anus. When all 3 muscle groups of the perineum are tense, relaxation begins, moving in the opposite direction (from the anus to the urethra).
  5. Positioning. Any of the exercises is performed in several positions: standing, sitting, lying down, getting on all fours, squatting down.

Gynecological massage

  • prolapse of the uterus;
  • adhesive processes;
  • weakness of the muscles of the uterus;
  • ovarian dysfunction.

Gynecological massage is an excellent non-surgical treatment method.

This event allows you to achieve the following positive results:

  • restore the natural position of the uterus;
  • get rid of adhesions;
  • normalize blood circulation in the pelvis;
  • improve muscle tone of the uterus;
  • prevent the risk of miscarriages;
  • restore fertility (a woman's ability to conceive).

Massage can only be performed by a professional physician in a specialized institution. The duration of the procedure depends on the readiness of the authorities for the event and can vary from 3 minutes to 20.

The procedure is prohibited for infectious diseases, elevated temperature, the presence of neoplasms, cervical erosion. Do not massage during menstruation. The event is contraindicated for congenital bending of the uterus.

Physiotherapy methods

If the bend of the uterus is provoked by adhesive and inflammatory processes, then the gynecologist will recommend a course of physiotherapy to the woman.

The following procedures are effective in the fight against pathology:

  1. Electrophoresis. In this procedure, drugs are administered through the skin or mucous membrane (vaginally) using an electric current.
  2. Diadynamic therapy. The therapeutic effect is carried out by diadynamic currents with different impulses. The event improves tissue trophism, eliminates swelling, provides stimulation of nerves and muscles.
  3. Ultraphonophoresis. Medicines are introduced into the body using ultrasound.
  4. Paraffin treatment. Purified paraffin is heated to a temperature of 50 ° C and applied as an application to the pelvic area. From above, the compress is wrapped with oilcloth and a warm blanket.
  5. Mud cure. Therapeutic mud contains many useful substances. Penetrating into the body through the skin, they provide activation of blood supply, stimulate tissue trophism. Mud therapy has an analgesic, resolving, antispasmodic, anti-inflammatory and regenerating effect.
  6. Acupuncture. Special thin needles are inserted into certain points of the body. Such an event significantly reduces pain, reduces the severity of inflammation.

Surgical intervention

There are many different techniques that allow for surgical therapy with the bending of the uterus. Sometimes the procedure is carried out manually. Under general anesthesia on the gynecological chair, the bend is straightened.

One of the most common operations is laparoscopy. It is undertaken if the pathology in a woman is provoked by an adhesive process. The operation involves minimal dissection of the skin tissues and peritoneum. Special equipment is inserted into the holes, with the help of which the progress of the operation is displayed on the monitor screen. The surgeon, carefully controlling every movement, dissects the adhesions.

Laparoscopy is a modern low-traumatic operation that allows you to give the correct position of the uterus

Then the doctor gives the correct position to the uterus, fixes it in its natural state with a pessary (a gynecological ring specially designed for this procedure). This device will not allow the body to move, thereby "accustoming" it to the correct position. As soon as the doctor notices that the uterus has taken its natural place of localization, the pessary will be removed.

Folk remedies

Traditional healers offer to use means that create conditions for correcting the pathological placement of the uterus. In order for the body to take its normal position, douching with highly astringent components is recommended. But it is important to remember that folk remedies cannot replace the treatment prescribed by the doctor.. They are an additional therapy for pathology.

Useful such folk remedies:

  1. Decoction of oak bark:
    • a pinch of bark (20 g) is added to water (1 l);
    • the mixture is boiled over low heat for 20 minutes;
    • filter;
    • dilute the liquid with cold water to get a warm solution;
    • douche with this decoction twice a day for 14 days.
  2. Hypericum solution:
    • dry grass (3–4 tbsp. l) is poured with water (2 l);
    • the composition is boiled for 15–20 minutes;
    • after filtering, allow the broth to cool to a comfortable temperature;
    • the solution is used for douching daily 1-2 times a day for 2 weeks.
  3. Potentilla decoction:
    • raw materials (1 tbsp.) are poured with warm water (1 tbsp.);
    • the mixture is brought to a boil and continue to cook for 5 minutes;
    • after cooling and filtering the broth, it is used for the douching procedure.

Before using traditional medicine, be sure to consult your doctor.

Folk remedies - gallery

A decoction of oak bark is an excellent remedy for douching St. John's wort - a solution with high astringent properties Potentilla erectus root is used to treat gynecological pathologies

Treatment prognosis

This pathology is "overgrown" with many myths. Therefore, a woman, having heard about the bending of the uterus, often believes that the joy of motherhood is impossible for her.

Doctors, studying the history of patients, are in a hurry to reassure - the prognosis of the pathology is favorable. In most cases, the anomaly does not need treatment and does not prevent the conception of a child.

But some women will still need therapy. Such patients must strictly comply with all doctor's prescriptions. And if you need surgery, then you should not refuse it.

Possible Complications

The bend of the uterus can provoke the following consequences:

  • infertility;
  • dyspareunia (discomfort and pain during intercourse);
  • chronic constipation;
  • painful, prolonged menstruation.

Preventive actions

Along with the treatment procedures prescribed by the gynecologist, a woman needs to reconsider her lifestyle.

To ensure effective prevention, you must follow these recommendations:

  1. Proper and nutritious nutrition. The diet implies a sufficient amount of animal proteins (cottage cheese, meat). Food is enriched with fresh fruits and vegetables. Useful cereals.
  2. The use of vitamins. The necessary complexes are prescribed by a doctor.
  3. Complete rest. Chronic fatigue or exhaustion can trigger a relapse.
  4. Refusal to stay on your feet for a long time.
  5. Physical regular exercise. At the same time, both excessive sports and inactivity can provoke pathology. Therefore, when planning loads, it is necessary to discuss them with your doctor.
  6. Timely bowel and bladder emptying. It is strictly forbidden to restrain the urge to urinate. For constipation, you can use a laxative. If there is a chronic process, then you need to see a doctor.
  7. Sleep on the stomach. This improves the blood supply to the organ.
  8. Refusal to lift weights.
  9. Regular visits to the gynecologist. In the absence of unpleasant symptoms, a woman should visit a doctor 2 times a year.
  10. Compliance with personal hygiene.
  11. Timely diagnosis and adequate treatment of gynecological diseases.

Curvature of the uterus - video

Do not be afraid or panic when you hear about the bend of the uterus. This pathology is not a sentence at all! Many women diagnosed with this anomaly were able to conceive and normally bear healthy children.