Patient's question:
Hello!During my gynecological examination, the doctor said my uterus is retroverted to a significant degree and that my cervix is deep. I don’t quite understand this statement. Could the doctor explain it?
The gynecologist mentioned that they will perform a uterus retroversion stretch later to help change its position. Is this necessary? If so, how is it done, and does it hurt?
Doctor, I may not be asking my questions very clearly because there are many things I don’t understand. I hope you can answer them as much as possible. Thank you!
Doctor's answer:
Hello: The following information is for reference:In fact, retroversion of the uterus itself is not a disease; it is merely a change in the position of the uterus. Some women do indeed have retroverted uteri due to pelvic lesions, but the majority do not. It is absolutely essential not to hastily accept corrective surgery.
The uterus is a very remarkable organ. To provide a good environment for fetal growth, it must gradually expand. Therefore, the position of the uterus is flexible. It hangs within the pelvic cavity, between the bladder and rectum, and is held in place by ligaments in all directions.
The determination of whether the uterus is anteverted or retroverted primarily depends on the strength of the round ligaments that connect the uterine horns to the inguinal canals. Some girls naturally have retroverted uteri due to relatively loose round ligaments. More commonly, during pregnancy, the round ligaments are stretched as the uterus expands and fail to return to their original position after childbirth, causing the uterus to shift from anteversion to retroversion. One reason for this is insufficient postpartum exercise.
Physiological retroversion of the uterus usually does not cause any clinical discomfort. If the uterus compresses the plexus of nerves in front of the spine, it may cause lower back pain after lying down for a while. Gentle stretching exercises can alleviate this.
So, is retroversion of the uterus a physiological or pathological change? Clinically, it can be distinguished through internal examination. The biggest difference between the two lies in the "mobility" of the uterus. In the former case, although retroverted, the uterus still retains its mobility, so it does not cause pain or affect fertility. Conversely, if the uterus has lost its mobility, it is often because it has become adhered to the posterior structures.