Patient's question:
I experienced menstrual irregularities after taking leave in May of this year. The main symptoms were: no period in June, very little flow in July and August. In August, I consulted a doctor at a hospital and was prescribed a type of white pill. After taking it, I had another period in August, and then I was given Poria Pill. However, I did not have a period in September. In October, I had a detailed examination at another hospital, and the doctor prescribed Progesterone tablets and another possible hormone medication. I am currently taking these medications. In November, I had another period, and the color and volume were normal. I was prescribed medication for three months. I would like to know how long I should stop taking the medication before I can conceive. The doctor said I have retroverted uterus and low fertility. I really want to have a child as soon as possible! I request detailed information.Doctor's answer:
The position of the uterus is affected by various factors. If it is not caused by a disease, it should be considered normal and does not affect fertility. So why is there a saying that retroverted uteri have lower fertility rates? This phenomenon does indeed exist, and the reason is pelvic adhesions, especially adhesions in the rectouterine pouch. In such cases, the uterus is definitely retroverted and fixed, making it very difficult to conceive or even leading to infertility. The reason is that the ovary releases an egg first into the rectouterine pouch, and then the fimbriae of the fallopian tube pick it up to achieve pregnancy. If there are adhesions in the rectouterine pouch, it becomes difficult or impossible for the egg to be picked up. Common diseases that lead to rectouterine pouch adhesions include: pelvic endometriosis, sequelae of pelvic infection, sequelae of pelvic tuberculosis, and others. These conditions give people the impression that retroverted uteri are less likely to conceive. You can roughly judge that if a retroverted uterus does not accompany other symptoms or discomfort, there is no need to worry, as it is often physiological and does not affect fertility. If the retroverted uterus is caused by rectouterine pouch adhesions, it is often accompanied by symptoms such as dysmenorrhea, deep dyspareunia, and infertility. Rectouterine pouch adhesions can be confirmed through dynamic digital hysterosalpingography, and the best treatment is through laparoscopy.