What does inverted uterus mean?
Inverted uterus, also known as retroverted uterus, means that the uterus is in a reverse position in the lower abdominal cavity. Instead of lying on top of the bladder, like it is supposed to, the uterus lies to either side of the bladder, with the cervix being in the same place.
Also, the fundus (body) of the uterus lies in a strange direction. In other words, instead of tripping back towards the belly button, the uterus trips back towards the spinal column.
What are the causes?
Usually, an inverted uterus is a naturally occurring variant of the uterus’ position, but it can also be caused by genetic factors, menopause and pregnancy. Pelvic surgery, fibroids, pelvic inflammatory disease, endometriosis, pelvic adhesions, and childbirth labor can also cause this condition.
What are the symptoms?
Unfortunately, this condition does not produce any typical symptoms. In some women, it causes pain and uneasiness, while others experience a deeper amount of pain. Most likely, women with an inverted uterus will experience pain during sexual intercourse (dyspaurenia) and pain during menstruation (dysmenorrhea). Pain in the lower back is also a common symptom. Besides these unspecific symptoms, it does not pose any medical problems.
How is it diagnosed?
An inverted uterus can be discovered when women undergo a routine pelvic examination or an ultrasound examination.
How can it be treated?
Since an inverted uterus does not cause severe symptoms or medical problems, there is usually no need to treat this condition. In most cases, it rights itself during the 10th to 12th pregnancy week. If, however, it causes painful symptoms, the doctor can perform manual repositioning or, in more extreme cases, surgery. Exercising and a pessary (a small plastic or silicone medical device inserted into the vagina) can also work.
Does it affect fertility and pregnancy?
In most cases, the prognosis for this condition is great. It does not cause any specific diseases or medical problems, so women with an inverted uterus have nothing to worry about. It can, however, make childbirth more difficult. These are rare cases, though, and it does not put at risk the future mom’s health, nor the baby’s health. Also, it has absolutely no effect on fertility.
Inverted uterus is a common condition, experienced by many women. While the term may sound frightening, there is usually no need to worry. Nevertheless, it is best for women to consult their physician and get a professional expertize, in order to avoid any possible complications.