The uterus is an important organ of the female reproductive system. It is in this womb that the baby will stay in the mother’s abdomen. However, some women appear to have an unusual uterine position, the uterus is tilted toward the back (retroverted). So, what a sign a woman has the womb tilted back?
What is a retroverted uterus?
The retroverted uterus is a condition of the uterus tilted to the back position of the cervix (cervix) instead of erect forward. Even when viewed, the retroverted uterus tends to stick to the colon and rectum.
This condition can affect more than 25 percent of women worldwide. Women with retroverted uterus may be due to birth (congenital) or due to certain medical conditions such as, endometriosis, pelvic inflammatory disease, pelvic surgery, and uterine infection.
The features of the uterus tilt backward
Generally, a retroverted uterus backward slant does not cause problems. Some women who experience this condition have no symptoms, but some women may have been aware of it.
The main symptoms of people who have retroverted uterus are:
- Pain during intercourse or dyspareunia
- Pain during menstruation or dysmenorrhea
These symptoms do look too general, so that some women do not realize it, and some women who have had regular pelvic tests to their pregnant doctors may already know it Other symptoms that can arise are:
- lower back pain or in the vagina during intercourse
- Urinary incontinence (unable to control urination)
- Frequent urination, because the bladder is depressed
- Urinary tract infection
- Fertility problems
- The appearance of bulge in the lower abdomen
Sexual problems caused
Although most of these conditions are not harmful, but still there are some problems that may arise. One of the sexual problems that occur due to the position of this abnormal uterus.
So, in women who have a uterus with a position like this will cause the ovaries and the fallopian tubes to reverse backwards. As a result, during the penetration, the penis can affect the reproductive organs, so often women experience pain during intercourse (called collision dyspareunia), especially if the woman’s position on top. In fact, not infrequently the position can tear the ligaments that surround the uterus.
Then what treatment is needed if it is known to have the position of the womb tilted backwards?
If this oblique uterus causes problems, there are several handling options that can be done. However, if the condition does not cause any symptoms to you, it may not be necessary treatment.
But you should first discuss the right option with your doctor. What is clear, the treatment will be done also based on the cause why the womb is tilted. For example, if the cause is due to endometriosis hormone therapy is required. Treatments that can be done ie.
1. Exercise movement
Performing certain movements with a routine may help to improve the position of the womb tilted back. There are two moves that can be done to deal with this problem.
Lie on your back with both knees bent and legs against the floor. Slowly, lift one knee toward your chest. Pull slowly with both hands. Hold this position for 20 seconds, release it, and repeat with the other foot. This movement however is not effective if the cause of this uterine slope is caused by endometriosis, fibroid tumor or pelvic infection.
Pelvic contraction movement
This exercise works to strengthen the pelvic floor muscles. Lie on your back with your hands next to you in a relaxed position. Then lift your butt up. Breathe in as you lift your butt off the floor. Hold and release as you exhale. Repeat 10-15 times.
2. Using a pessary device
This pessary is made of silicone or plastic. This tool is a small tool that will be inserted into the vagina to support the uterus to the upright position. Pessary can be used temporarily or permanently. However, suspected pessary in the long term can cause infection.
In some cases, surgery may be needed to reposition the uterus, and to reduce the pain of this uterine tilt. There are several different procedures in this surgery.
Uplift procedure, which is a laparoscopic procedure that takes about 10 minutes to lift the position of the uterus. This includes the latest surgical procedures to handle the position of the uterus.