A retroflexed uterus is also known as an inverted uterus. A retroflexed uterus is a condition where the uterus is in a straight back position, facing the anus or spine. Most women have the uterus facing forward (anteflexion) or toward the abdomen and located above the bladder.
Many women do not realize that they have a retroflexed uterus because this condition generally causes no symptoms. However, retroflexion of the uterus is known to be associated with several other conditions that can cause disturbing complaints or symptoms.
Symptoms of a Retroflexed Uterus
Although often asymptomatic, the following symptoms may be a sign of a retroflexed uterus:
- The spine and vagina feel pain during sex.
- Frequent urination and pressure on the bladder.
- Pelvic pain during menstruation.
- Have a urinary tract infection.
- Difficult to use tampons.
Causes of Uterus Retroflexion
Uterus retroflexion can occur naturally with age. In addition, there are several factors that can cause the uterus to retroflex, including:
1. Labor
The position of the uterus can change due to the influence of the birth process. This condition can occur if the ligaments or tissues that support the uterus stretch. Under normal conditions, the uterus should return to its original position after delivery. However, in some deliveries, it causes a change in the position of the uterus to become retroflexed.
2. Endometriosis
The growth of scar tissue on the uterine wall that occurs in cases of endometriosis can cause the uterus to become stuck in an inverted position and have difficulty returning to its proper position.
3. Pelvic inflammatory disease
Pelvic inflammatory disease that is not treated properly can trigger the appearance of scar tissue in the lining of the uterine wall and cause effects such as in the case of endometriosis.
4. Fibroids or myomas
The appearance of fibroids around the uterus can make the uterus inverted, its shape is not perfect, and problematic. In certain cases, the appearance of fibroids can also interfere with the fertilization process or pregnancy.
5. Pelvic surgery
A history of pelvic surgery can also cause scar tissue, causing the uterus to be disturbed.
Overcoming the Retroflexed Uterus
Treatment efforts for retroflexed uterus vary, depending on the patient's condition and the underlying cause. But in general, retroflexed uterus can be overcome in several ways, including:
Do light exercise
This exercise is done to manually return the uterus to its original position. The movements performed are designed to strengthen the ligaments and tendons that hold the uterus together.
The first exercise that can be done is Kegel exercises. Kegel exercises are done by tightening the lower pelvic muscles as if holding back urination. Then hold this movement for 5 seconds and repeat 4−5 times.
The second exercise is done by attaching the knees to the chest. To perform this exercise, you must lie on the floor with your legs straight down and against the floor. Slowly pull your legs up, bend them, then press them against your chest for 20 seconds. Then return your legs straight to the floor and repeat 10-15 times.
The third exercise, similar to Kegel exercises, is performed to tone the pelvic muscles. You can lie down with your torso position and your hands straight down on the floor. Then lift your pelvis up slowly while inhaling. Lower your pelvis while exhaling. Repeat this movement 10-15 times.
Using a pessary ring
A pessary ring is a device that is inserted into the vagina to correct the position of the uterus. This plastic or silicone device can be implanted in the vagina, either temporarily or permanently. Wearing a pessary ring can increase the risk of infection and inflammation, and make intercourse uncomfortable.
Undergo surgery
In certain cases, a retroflexed uterus must be treated surgically. There are several techniques that can be used in this procedure, one of which is laparoscopy. This technique is relatively easy and fast. If the condition is very serious, a hysterectomy may be performed to remove the uterus.
Some people worry that the retroflexed uterus will interfere with pregnancy. In fact, in most cases, the retroflexed uterus does not interfere with the pregnancy. The inverted uterus will return to its original position naturally during the first trimester of pregnancy. To be on the safe side, make sure you always consult a doctor if you experience symptoms of this disorder.