Retroverted uterus

Jump to: navigation, search

For patient information, click here

Retroverted uterus
Fem isa 2.gif
Female internal reproductive anatomy. Uterus is in slightly anteverted position. A retroverted uterus would be tilted further backwards.
ICD-10 N85.4
ICD-9 621.6
MedlinePlus 001506

WikiDoc Resources for Retroverted uterus

Articles

Most recent articles on Retroverted uterus

Most cited articles on Retroverted uterus

Review articles on Retroverted uterus

Articles on Retroverted uterus in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Retroverted uterus

Images of Retroverted uterus

Photos of Retroverted uterus

Podcasts & MP3s on Retroverted uterus

Videos on Retroverted uterus

Evidence Based Medicine

Cochrane Collaboration on Retroverted uterus

Bandolier on Retroverted uterus

TRIP on Retroverted uterus

Clinical Trials

Ongoing Trials on Retroverted uterus at Clinical Trials.gov

Trial results on Retroverted uterus

Clinical Trials on Retroverted uterus at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Retroverted uterus

NICE Guidance on Retroverted uterus

NHS PRODIGY Guidance

FDA on Retroverted uterus

CDC on Retroverted uterus

Books

Books on Retroverted uterus

News

Retroverted uterus in the news

Be alerted to news on Retroverted uterus

News trends on Retroverted uterus

Commentary

Blogs on Retroverted uterus

Definitions

Definitions of Retroverted uterus

Patient Resources / Community

Patient resources on Retroverted uterus

Discussion groups on Retroverted uterus

Patient Handouts on Retroverted uterus

Directions to Hospitals Treating Retroverted uterus

Risk calculators and risk factors for Retroverted uterus

Healthcare Provider Resources

Symptoms of Retroverted uterus

Causes & Risk Factors for Retroverted uterus

Diagnostic studies for Retroverted uterus

Treatment of Retroverted uterus

Continuing Medical Education (CME)

CME Programs on Retroverted uterus

International

Retroverted uterus en Espanol

Retroverted uterus en Francais

Business

Retroverted uterus in the Marketplace

Patents on Retroverted uterus

Experimental / Informatics

List of terms related to Retroverted uterus

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

A retroverted uterus (tilted uterus, tipped uterus) is a uterus that is tilted backwards instead of forwards. This is in contrast to the slightly "anteverted" uterus that most women have, which is tipped forward toward the bladder, with the anterior end slightly concave.

One in three to five women (depending on the source) has a retroverted uterus, which is tipped backwards towards the spine.

Related terms

The following table distinguishes among some of the terms used for the position of the uterus:

A retroverted uterus should be distinguished from the following:

Distinction More common Less common
Position tipped "anteverted": tipped forward "retroverted": tipped backwards
Position of fundus "anteflexed": the fundus is pointing forward relative to the cervix. Anterior of uterus is concave. "retroflexed": the fundus is pointing backwards. Anterior of uterus is convex.

Additional terms include:

  • retrocessed uterus: both the superior and inferior ends of the uterus are pushed posteriorly
  • severely anteflexed uterus: the uterus is in the same position as "normal" and bends in the same direction (concave is anterior) but the bend is much pronounced
  • vertical uterus: the fundus (top of the uterus) is straight up.

Causes

In most cases, a retroverted uterus is congenital, but some cases are caused by pelvic surgery, pelvic adhesions, endometriosis, fibroids, pelvic inflammatory disease, or the labor of childbirth.

Diagnosis

A retroverted uterus is usually diagnosed during a routine pelvic examination.

It usually does not pose any medical problems, though it can be associated with dyspareunia (pain during sexual intercourse) and dysmenorrhea (pain during menstruation).

Patient #1: Ultrasound and MRI demonstrate a retroverted uterus.

Fertility & Pregnancy

Uterin position has no effect on fertility. A tipped uterus will usually right itself during the 10th to 12th week of pregnancy.

If a uterus does not right itself, it may be labeled persistent. "Persistent retroflexion of the pregnant uterus is incompatible with advanced pregnancy. If spontaneous or artificial reposistion does not occur, the patient either aborts or develops symptoms caused by incarceration of the uterus before the end of the fourth month. In exceptional instances, however, pregnancy may proceed, resulting in uterine sacculation. Spontaneous delivery is impossible, and rupture of the uterus may occur."[1]

Treatment

Treatment options are rarely needed, and include exercises, a pessary, manual repostioning, and surgery.

References

  1. Gant NF. Cunningham FG. Basic Gynecology and Obstetrics, 1995, p 375 - chapter 48

it:Retroflessione uterina




Linked-in.jpg