Treatment

Why can there be a bend of the uterus? Deflection of the cervix: disease or anatomical feature? What is uterine flexion?

Specific and quite difficult to eliminate gynecological pathologies are anomalies in the location or structure of organs. This pathology can be of varying degrees of severity, sometimes it is congenital, in other cases acquired. Depending on its characteristics, the effect on pregnancy, symptoms and other effects on health may differ. It is this group that includes the bending of the uterus, which will be discussed in this material.

Definition

What is uterine inflexion? This is a condition in which there is a deviation from the normal location of a given organ in a woman’s body. The bend is often congenital, but can also form in adulthood for one reason or another (for example, as a result of an inflammatory process). Often, this location of the uterine body does not pose a serious health hazard (especially when it is congenital). What this condition looks like can be seen in the photos and diagrams in the material.

But in rare cases, the condition may affect the likelihood of a successful pregnancy, therefore, when such a condition is discovered for the first time, the doctor may give some recommendations. In general, the condition is not considered acute.

Causes

Why does the uterus bend? The formation of this condition is influenced by many factors. It is depending on what caused this feature that adequate treatment is prescribed (or not prescribed). In addition, depending on the reasons that caused the pathology, how strongly its symptoms will manifest itself and what consequences it will have depends. Currently, all causes of this condition in women are divided into two large groups: congenital and acquired.

Congenital

Congenital bending of the uterus develops even at the stage of intrauterine development and can progress or become less noticeable as the girl’s reproductive system develops. Such volvulus is usually diagnosed at the very first diagnostic ultrasound of the reproductive system.

It is important to understand that in this case, a curved uterus is not a pathology, but a feature - a feature of the location of the organ for a particular woman. This condition is not acute, often does not cause symptoms, does not affect well-being or pregnancy, and does not require therapy (almost always). In almost 100% of cases, this feature cannot cause any gynecological problems.

Purchased

If the bend of the uterus was initially absent and formed only in adulthood, then this condition can be considered pathological, because it is formed due to the development of a pathological process. What exactly pathologies cause this? Often these are adhesions in the pelvis and in the abdominal cavity to a lesser extent). In this case, the adhesions “tighten” and “tie” the uterus to other organs and/or the abdominal wall. As a result, a bend of the cervix or its entire cervix is formed.

This condition is considered abnormal and requires treatment. It can cause symptoms and influence the likelihood of pregnancy and successful pregnancy, as well as health status. In this case, treatment requires both the process that caused the formation of adhesions and the curvature of the uterus itself.

Kinds

Curvature can be of different types. It differs both in severity and in the very nature of the disorder - the pathological anatomical placement of the organ. Also, sometimes groups are distinguished depending on what concomitant pathologies occur. There are three main types of bend based on the location of the organ. Moreover, in some of these types there are quite a lot of subtypes.

Posterior bend of the uterus

A rather rare occurrence in which the uterus is bent backwards. It is much less common than forward bending. Therefore, within this type there are not even any subtypes. Therefore, if a uterus is diagnosed (according to ultrasound results) with a backward bend, then they speak of development - a condition in which the fundus of the uterus, its cervix or body is tilted back and is anatomically located so that it seems to be directed away from the abdominal wall. Retroflexion can be either congenital or acquired (more often). Hyperretroflexion is said to occur when the uterus is very strongly tilted posteriorly (in fact, this is not a subtype, but a definition to indicate the severity of the pathology or feature).

Bend of the uterus anteriorly

This type of violation of the standard anatomical position of an organ is spoken of when it is located symmetrically, but the bottom, neck, any other part of it, or the whole of it, are located in such a way that they seem to be inclined or tend to the anterior abdominal wall. This type is the most common. It has several subtypes depending on the exact location of a particular structural part of the uterus.

. Another name for the condition is anteflexio. With it, the fundus of the uterus is located at the top and is anatomically located so that it is directed forward - towards the abdominal wall. In this case, the cervix and its vaginal part are located much further from the peritoneum, they extend back from it. In this case, an obtuse angle is formed between the main body of the uterus and its cervix. It is changes of this nature that occur most often with this feature. It is important to remember that this arrangement can be either congenital or acquired as a result of a pathological process.
. Another name for this feature is anteversio. In this case, according to the results of an ultrasound examination, the uterus is bent anteriorly. That is, as in the previous case, the bottom of the organ is at the top and located towards the abdominal wall. But the vaginal part does not move back significantly - it is more or less in line with the bottom and is also directed towards the abdominal wall. In this case, an obtuse angle is formed between the cervix and the body of the uterus, as in the previous case. The condition can also be acquired or congenital.
. This is a condition that is completely similar to anteflexion in terms of the type of changes. However, the prefix “hyper,” as in the case of hyperretroflexion, indicates the severity of the changes. Thus, this term defines very strongly expressed anteflexion. In this condition, the body of the uterus is tilted forward so much that an obtuse angle is formed, open posteriorly.

Lateral bending of the uterus

There are quite a few types of changes that fall into this category. First of all, this is a significant deviation of the uterus to the right or left from the axis of symmetry, that is, its asymmetrical location. This condition is quite rare (less common than other types). And more often it is congenital than acquired. This condition is called.

In addition, this group can also include various deviations in the location of the uterus relative to its axis. For example, torsion, as well as any other manifestations of asymmetry.

Signs

Signs of a bent uterus are often uncharacteristic. Typically, the following clinical picture is formed:

Pain during menstruation;
Significant increase or decrease in the volume of blood discharge during menstruation;
Less often – discomfort and pain;
It is extremely rare and only in combination with fibroids or a tumor that compression of neighboring systems is observed, manifested in frequent urination, constipation, difficulty defecating, etc.;
Difficulties with pregnancy may develop, although quite infrequently;
Complications during pregnancy - miscarriages, premature births at a very short term.

Usually, the congenital condition is diagnosed quickly. After the inflammatory process, adhesions form gradually. As a result, the development of this process can be skipped. For this reason, it is necessary to carefully monitor the symptoms described above in all women who have a history of inflammatory processes in the reproductive system.

Diagnostics

How to determine the bend of the uterus? Typically, diagnosing the feature does not cause any difficulties. It is often discovered during a routine gynecological examination, during vaginal examination. Also, its presence becomes obvious during an ultrasound examination. However, this feature of the body and cervix can best be determined using a vaginal ultrasound probe.

Complications

Why is a bent uterus dangerous? This can be judged based on the reasons for which it was caused. As mentioned above, a congenital feature is not a pathology. Often, if the process is congenital, it does not have any negative health consequences and does not affect pregnancy in any way. It does not need to be treated, it is not capable of causing any consequences.

The situation is different when it comes to pathology acquired under the influence of the adhesive process. What is the threat of the condition in this case? Severe pain is constantly present, moreover, the bend can develop so severely that it leads to infertility. A congenital feature is usually not so strongly expressed.

Pregnancy

A congenital feature almost never affects the likelihood of conception. But an acquired one can become an obstacle, since the bend can have such a degree of severity that it will interfere with the passage of the sperm into the uterus and/or normal gestation mechanically. In addition, the inflammatory process that causes the formation of adhesions has an extremely negative effect on pregnancy. For example, endometritis often leads to infertility and early miscarriages.

Treatment

Is a bent uterus curable? There are methods to get rid of pathology, but only if it is acquired. The congenital feature does not require treatment.

How to treat the condition if it is acquired? Typically, the process of cutting adhesions is carried out laparoscopically. Using a laparoscope, punctures are made in the abdominal wall, and instruments are inserted through it, with the help of which adhesions are dissected and the vessels are coagulated.

In the presence of an inflammatory process, a bent uterus can be cured only by first treating it with antibiotics. UHF and other physiotherapy procedures are also prescribed to resolve small adhesions. You can do some at home.

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In the female body, the uterus is a pear-shaped muscular organ, which belongs to the genital area and is simply necessary for conceiving and bearing a child. Often one of the reasons for the absence of pregnancy for a long time is the bending of the uterus. In modern living conditions, a bent uterus is diagnosed in almost every fourth woman. This pathology makes it difficult to conceive a child, which means that certain difficulties are created in the path of sperm to the egg. Some representatives of the fairer sex want to become mothers so much that they try to get pregnant with such a pathology using traditional medicine recipes, using various spells and prayers.

Many women wonder why the cervix or the organ itself bends. Most often, the cause of the development of such a pathology is a weakening of the ligaments and muscles of the pelvic area, which results in a change in the normal position of the uterus in the woman’s body. In addition, signs of organ bending can be observed as a result of the progression of various infectious diseases, inflammatory processes in the pelvic area and as a consequence of a genetic factor. Orgasm with this pathology occurs without problems, since the backward bend of the uterus does not have a significant effect on it.

Symptoms of pathology

Pregnancy is an important stage in the life of every woman, therefore, with a strong desire to conceive a child, the future lobe listens carefully to her body and pays attention to any unusual symptoms. Typically, the symptoms of pathology depend on the severity of the inclination of the reproductive organ and its direction.

Most often, when the uterus is bent, there are no symptoms, that is, it is characterized by a hidden course, and the cervix of the organ deviates towards the anterior or posterior wall.

Retroflexion in a woman’s body can have symptoms that are characteristic of most gynecological diseases of the reproductive system:

painful and prolonged menstruation;
heavy bleeding;
the appearance of pain and discomfort during sexual intercourse.

In addition, the bending of the cervix and the organ itself puts increased pressure on the bladder and the result of this pathological condition is symptoms in the form of an excessively frequent urge to urinate. Diagnosing retroflexion is a serious obstacle to pregnancy. However, in the case of successful conception of a child, the bending of the uterus can provoke spontaneous miscarriage, therefore this pathology is considered one of the main causes of miscarriage.

Often a woman does not pay attention to such symptoms and associates them with the manifestation of completely different diseases. The painful sensations that accompany the backward bending of the uterus often prevent a woman from achieving orgasm during intercourse.

Features of treatment

Usually, before planning a baby, a woman turns to a specialist who, based on the results of the examination, makes certain predictions.

Treatment methods

Some women have no idea how to determine the curvature of the uterus. Usually, already during a gynecological examination, the doctor will be able to easily diagnose the bending of the uterus backwards and forwards, as well as prolapse and prolapse of the genital organ. In addition, the specialist can already determine the nature of retroflexion at the first appointment, that is, whether it is congenital or acquired. If the bend of the uterus is a congenital feature of the body, then in such a situation it does not interfere with conception and usually no treatment is carried out. When a pathological bend of the uterus is confirmed, the doctor determines what treatment a woman with such a pathology needs.

Before prescribing any treatment for the bending of the uterus back and forth, the specialist finds out the causes of this pathology.

If retroflexion has developed as a result of various inflammatory processes in the uterine cavity, then it can be eliminated using:

antibacterial agents;
physiotherapeutic procedures;
anti-inflammatory agents.

If the uterus bends backward due to adhesions, treatment can be carried out using a special operation called laparoscopy. In addition, pathology can be treated using special Kegel exercises and traditional medicine.

Massage for pathology

Treatment of various gynecological diseases, including anterior bending of the uterus, can be carried out using various methods, among which gynecological massage can be distinguished. This massage has a physiological effect on the uterus and helps to completely heal the entire body. Bend of the uterus back and forth often causes infertility and gynecological massage can be used for treatment. Only a specialist should have such an effect on a woman’s body, and the procedure is usually carried out on a gynecological chair.

In order for such a massage to have a positive effect on the condition of the uterus, it is important to know the features of its implementation and correctly select the force of influence. It is for this reason that treatment can only be carried out by an experienced specialist who specializes in such a procedure and can correct the organ defect.

Massage when bending the genital organ forward and backward may be accompanied by the development of unpleasant symptoms:

the appearance of pain during palpation;
deterioration in general health;
cardiopalmus.

You can massage with both hands, with one located on the vaginal side and the other on the abdominal area. In order to correct the pathology of the organ, it is necessary to carry out a large number of massage sessions and only in this case it is possible to achieve a positive result. Massage gives a woman confidence for a long-awaited pregnancy, improves her overall well-being and restores normal metabolism in the body. If a massage is performed in the treatment of retroflexion, then throughout the course the woman is advised to sleep and lie on her stomach.

Treatment at home

You can treat uterine pathology with the help of special exercises that you can do yourself at home.

Gymnastics for this pathology allows you to create a certain pressure in the abdominal cavity, which returns the uterus to its normal position and prevents its prolapse. Good results are achieved by special exercises for bending the uterus using the Kegel system, which have proven to be one of the effective ways to strengthen the pelvic muscles.

At first, during the day, gymnastics can take only a few minutes and gradually the duration of classes should be increased to 20-30 minutes. To consolidate the therapeutic effect, you can stand in the knee-elbow position several times a day. In addition, to obtain the greatest effect, it is recommended to combine therapeutic exercises and gynecological massage.

Among some women, traditional medicine is especially popular, with the help of which they try to cure their pathology. Often women use various conspiracies against organ loss and for pregnancy, from which they hope to get the desired effect. Conspiracies are read by women precisely when they have a strong desire for pregnancy, since many members of the older generation consider this method to be quite effective. To achieve a long-awaited pregnancy when the uterus is bent, women use spells from ancient books or visit various healers.

Bend of the uterus is a deviation from the desired position of the body of the uterus in the pelvis. The pathology can be congenital or acquired. The second option occurs after surgery, inflammation or insufficient ovarian function.

The uterus may be bent backwards:

Retroflexion of the uterus. In this disease, the body of the uterus moves back towards the rectum. It is retroflexion that means the bending of the uterus.
Anteflexion of the uterus. This is a slight bend of the uterus forward towards the bladder. Because of this, a slight obtuse angle is formed. When a woman has not given birth yet, this is the norm, because after childbirth everything returns to normal.
Leteroflexion of the uterus. Her body curves to the left or right towards one of the ovaries.
Anteversion. The essence of this pathology is that the uterus and its cervix deviate.

In addition to the bending of the uterus, diagnosis reveals its rotation along its axis. It feels as if the uterus is twisting.

Causes

The causes of a bent uterus are rarely individual. Most often, the disease is acquired during life. Numerous factors can influence this:

Heavy physical activity.
Endometritis and inflammation of the uterus and its appendages.
Intestinal diseases.
Untimely emptying of the bladder at an early age, constipation.

Symptoms

The clinical picture of the disease can only manifest itself as the bending of the uterus is clearly pronounced.

Most often, women experience pain during sexual intercourse, menstruation, urinary disorders and irregularities in the menstrual cycle. When pregnancy occurs, there is a risk of miscarriage. When examining the patient, the doctor tries to determine whether the uterus is fixed. To do this, he moves it in different directions. If it is fixed, then there is no displacement to the sides, and no painful sensations arise during movement.

The symptoms that arise indicate the presence of problems that can cause infertility.

Bend of the uterus during pregnancy

How to get pregnant if a woman has a tilted uterus? A similar question rarely concerns women who have not given birth; it is another matter when the child is already inside, and the uterus does not want to take a normal position.

In this case, there is a risk of complications. They can manifest themselves in the form of complicated bowel movements, urination, and flatulence. Serious problems often arise - from miscarriage to acute inflammation of the bladder. If a woman has a frequent urge to go to the toilet “in a small way” and stool disturbances in the early stages of bearing a child, then she should immediately notify her gynecologist about this.

During gestation, the uterus will grow, it will fill most of the woman's pelvic area, press against the sacrum, displace the bladder and put pressure on the rectum.

To correct the bending of the uterus during pregnancy, it is necessary to resort to surgery. During this process, the uterus is pushed into the required position. The operation is not complicated, and thanks to it, the mother will be able to fully bear and give birth to a child. As you get closer to giving birth, your doctor may recommend a cesarean section. But such a decision is made only if the cervix is not dilated enough.

Treatment

Therapy for this pathology is carried out to restore a woman’s fertility and prevent pathologies during pregnancy. The bending of the uterus back and towards the front does not always become an obstacle to conception, but it reduces the likelihood of its occurrence. Even if a woman with such a diagnosis managed to get pregnant, then if she bends, there is a possibility of consequences developing. But here it all depends on the complexity of the disease:

If the bending of the uterus occurs in a mild form, then the pregnancy is unlikely to be complicated, and after childbirth the uterus will return to its place.
When the cervix is bent combined with torsion, pregnancy is unlikely.
When the cause is adhesions and inflammation, this has a detrimental effect on the course of pregnancy, increasing the risk of miscarriage.

Drug therapy

To treat a bent uterus, the following can be used:

Vitamins;
Hormonal drugs;
Antibiotics;
Medicines that resolve adhesions.

Kegel exercises

Through such exercises, you can strengthen and restore the elasticity of connective tissue strands. They are required to maintain the natural location of the uterus in the pelvic cavity. Therapeutic gymnastics can be prescribed in combination with other therapeutic methods, but can also be used separately. Therapeutic exercises are very often used as a separate method of therapy in preparation for pregnancy.

There are several techniques for Kegel exercises:

Reduction. You should alternately contract and relax the pelvic floor muscles. Initially, do 10 approaches 3-4 times a day. Over time, increase the number of repetitions to 20-30 times.
Content. It is also necessary to contract the muscles, keeping them tense for 5-10 minutes.
Elevator. The essence of this exercise is to alternately tense the vaginal sections. It is necessary to strain the muscles from the lower to the upper sections with minor pauses. Next, smoothly relax the muscles. Perform 5 approaches.
Waves. It is necessary to alternately contract 3 groups of muscles of the perineum, forming 3 loops. Each turn should contract from front to back, and their relaxation occurs in the reverse order.
Positioning. Any exercise should be performed in a lying or sitting position, but not standing.

Gynecological massage

I can prescribe massage for uterine flexion for the following reasons:

adhesive process,
prolapse of the uterus and weakness of its muscles.

Benefits of gynecological massage:

elimination of adhesions,
restoration of the correct position of the uterus,
normalization of blood circulation in the pelvic organs,
improvement of the tone of the uterus and its muscles,
restoring fertility and preventing the risk of miscarriages.

Only a doctor can perform gynecological massage. To do this, the patient will have to visit specialized departments with specific regularity. The treatment procedure is performed in a gynecological chair. It must be located at a specific angle.

During the massage, the woman moves to the edge of the chair, spreads her legs and leans on the footrests. The patient should be completely relaxed. If pain and severe discomfort are felt during the manipulation, then you must inform your doctor about this.

The doctor massages the uterus with both hands. One hand relative to the vagina, and the other outside, through the stomach. The purpose of this manipulation is to treat the uterus from all sides during palpation. This way, it will be possible to break up adhesions and scars during the massage.

After completing the entire course of gynecological massage, a woman can become pregnant, improve her well-being, normalize metabolic processes and improve sensitivity during sexual intercourse. The session lasts 3-5 minutes, but can be extended to 10-20 minutes if the patient feels well.

Gynecological massage should not be performed on women with:

infectious diseases of the genitourinary system,
elevated temperature,
menses,
tumors in the pelvic organs,
cervical erosion,
congenital form of uterine bending.

Very often, gynecological massage is prescribed after completing a course of anti-inflammatory therapy and adhesions.

Surgery

If the curvature of the uterus does not allow the girl to become a mother, then after a year of active attempts at conservative treatment, the doctor will be able to prescribe surgical intervention to the patient. To perform it, the laparoscopy method is used. After the operation there are no scars or other complications.

It is extremely rare for a doctor to prescribe abdominal surgery. It is necessary for complex adhesions, which in mild form can be quickly removed by laparoscopy.

When using any method of surgical intervention, the doctor will be able to give the uterus a normal position and tighten the necessary ligaments. If left untreated, uterine inclination can become complicated with age in the form of uterine prolapse. Then more pronounced symptoms and pain occur.

Lifestyle changes

In addition to therapeutic exercises, gynecological massage and drug therapy, it is necessary to reconsider the lifestyle.

eat properly and balanced;
saturate the body with essential vitamins;
exercise regularly;
devote proper time to sleep and rest, lie down on your stomach during night sleep;
do not carry heavy bags or perform excessive physical activity;
do not stay on your feet for a long time;
empty your bladder and bowels on time;
timely treat various gynecological pathologies, regularly visit a doctor for routine examinations;
maintain intimate hygiene;

Poses for conception

To quickly achieve pregnancy when the uterus is bent, there are certain postures and movements. A couple can have sexual intercourse in any position, but before ejaculation, the man must change the position to a classic one. It can be behind or on top.

The best poses for bending the uterus:

A very popular position when the woman is below and the man is on top. With this arrangement, the penis will go deeper and move closer to the uterus. With this position, the chance of successful conception is high.
For successful conception, you can use the position when the man is behind. A woman can be in any position - standing on her knees, lying on her side. This pose is one of the most effective and efficient. Doctors believe that with regular ejaculation in this position, pregnancy can occur very quickly. But this is provided that there is no inflammation or other pathologies.

After completing sexual intercourse, a woman should not get up for 30 minutes. It is also effective to throw your legs up and lie in this position for 15 minutes. After this, lower your legs and take a similar position. You can fully get out of bed in 20 minutes.

Deflection of the uterus is a common pathology. Treatment is prescribed taking into account the severity of the pathology. If it is moderate or mild, then you can manage with conservative methods, but in severe cases, the doctor resorts to surgical treatment. And although the problem is of an intimate nature, you should not be ashamed of it, so all points must be discussed with your doctor.

Bend of the uterus differs in several varieties, develops due to various factors, manifests itself with more or less noticeable symptoms, however, any such case threatens to form the basis of the difficulty of getting pregnant safely and bearing the fetus.

What is a uterine flexion?

The female reproductive organ in the pelvic cavity is characterized by a certain anatomical position. It is characterized by the following positions:

in depth, approximately in the middle of the small pelvis,
parallel to the vagina,
in the same plane with the cervix and vagina,
in a fixed position, secured by the uterine ligaments of dense connective tissue.

If the uterus deviates from that relative to the cervix, is shifted in any direction, the cervix or the body of the uterus itself is bent, the pathology is called bending of the uterus.

The natural position of the uterus is most favorable for sperm to penetrate into the fallopian tubes, where conception occurs. If the uterus is located unnaturally, then in addition to completely natural obstacles, the sperm on the way to the egg encounter such anatomical obstacles and pregnancy turns out to be less likely, although it is not completely excluded.

If the uterus is slightly bent, problems with conception should not arise. To increase the chances of pregnancy, intimate positions during bend of the uterus It is better to choose knee-elbow or on the stomach with a raised pelvis. After sexual intercourse, a woman should lie on her stomach for about half an hour.

If the bend is very pronounced, then sperm are not able to penetrate further than the vagina. There may be a risk of formation of adhesions in the area of the fallopian tubes and then infertility is highly likely.

Bend of the uterus, that is, its rotation into an unnatural position, can also be combined with its twisting around its own axis, which complicates the situation.

There are several positions for bending the uterus:

retroflexion- the classic version of the bend, the most popular; represents a reversal of the body of the uterus backwards, that is, closer to the rectum;
anteflexion- a very popular case of bending, when the uterus, forming a right angle, turns forward, closer to the bladder; being common among nulliparous women, the disorder disappears after childbirth;
hyperanteflexia- such a sharp bend of the uterus forward that it almost folds in half;
anteversion- such an inflection of the uterus forward, in which the deviation also affects its cervix;
leteroflexion- sideways (left or right), in which it approaches one of the ovaries.

Acquired backward bending of the uterus often forms during puberty, subject to poor development of the reproductive apparatus in a teenage girl. The presence of at least one of the above factors in combination with developmental defects during growth and puberty disrupts the normal relationship of organs, which causes a posterior displacement of the uterus.

There are fixed or mobile bending of the uterus. The cause of the first is most often inflammatory processes, and a mobile bend can be a consequence of thinness, childbirth, and some gynecological diseases. Gynecologists note a greater risk bend of the uterus in young women with low body weight, muscle mass and poorly developed skeleton.

Origin of uterine bend

Bend of the uterus its position is abnormal, but very often the pathology turns out to be congenital, and in some cases - acquired. Congenital bending of the uterus is explained by a violation of the pregnancy of the woman in labor (the mother of a woman who is diagnosed with bending). Most often, such an individual anatomical feature turns out to be a minor deviation from the norm and only occasionally and slightly affects a woman’s fertility and sexual function. These include the same anteflexion or mild forms of retroflexion, which allow you to get pregnant, and after childbirth there is no trace of them at all.

When it is formed already in adolescence, and more often during the reproductive age of a woman, the pathology is assessed less favorably. Usually it becomes a consequence of other diseases of the female organs, for example, inflammation or adhesions. Gynecologists name among the popular factors of acquired uterine bending:

sexually transmitted infections, the treatment of which was so untimely that they spread to the pelvic area;
inflammation in the pelvic cavity, occurring both from the reproductive system and from other organs located here:
- endometriosis,
- inflammation of the appendages,
- adnexitis;
operations in the area of the abdominal organs (including cesarean section), after which adhesions are quite likely;
weakness and decrepitude of the uterine ligaments, which ideally should firmly fix it, but can often be so relaxed that uterine prolapse develops; This happens, for example, over the years;
malignant neoplasms in the pelvic organs (uterus, ovaries, intestines);
diseases of other organs in the pelvic cavity:
- intestinal diseases,
- colon diseases,
- diseases and damage to the bladder;
strong physical activity - both one-time and on an ongoing basis.

Clinical picture and diagnosis of uterine bending

It is almost impossible for a woman to independently determine whether she has a bent uterus, but it is quite easy for a professional physician to do this. Based on the patient’s complaints and pathological history, it is possible to put forward a hypothesis about the likelihood of this pathology. The following features of the violation are taken into account:

severe pain during menstruation;
deviations from the norm in the amount of menstrual flow - either an increase or a decrease in their volume; presence of clots;
presence of spotting between menstrual periods;
pain and discomfort during sexual intercourse in case of sharp bends of the uterus;
constipation or frequent urination if the inverted uterus puts pressure on the corresponding organs;
difficulties in achieving or maintaining pregnancy; risk of miscarriage.

Bend of the uterus can be established when examining a woman in a gynecological chair. In particular, the palpation procedure makes it possible to detect immobility of the uterus due to adhesions with the muscles. When adhesions pull the uterus and bend it at an acute angle, the woman experiences pain.

Another way to detect is ultrasound, preferably transvaginal. The results of the examination will show the location of the uterine body and its positions that differ from the norm.

Treatment of a bent uterus

Treatment bend of the uterus is performed to restore the patient’s fertility and prevent pregnancy pathologies. A curvature of the uterus (depending on its shape) does not always prevent pregnancy, but it does reduce its likelihood. If, despite the presence of pathology, a woman managed to become pregnant, then pregnancy complications are more likely with a bend, which again depends on its shape. If these are mild forms of congenital bending, then the pregnancy is unlikely to be complicated, and after delivery there is usually no trace of the bending left. If there is an acquired bend, with twisting of the cervix, then pregnancy is unlikely. If it develops due to adhesions or inflammation, then these same causes of bending will affect the course of pregnancy, significantly increasing the risk of its termination.

Drug therapy for treatment bend of the uterus is represented by the prescription of vitamin, hormonal, antibacterial, adhesive-absorbing drugs. Non-drug treatment of uterine inclination is represented by special therapeutic exercises to strengthen the pelvic muscles, for example. If the gynecologist was able to identify the cause of the acquired bending of the uterus, then as part of the treatment, measures are taken to eliminate the causes of the pathology, and then, if necessary, the patient performs therapeutic exercises. In particularly difficult cases, laparoscopy will be prescribed.

Among the specific measures to eliminate the causes of uterine bending are antibiotic therapy and anti-inflammatory drugs for the treatment of inflammation, physiotherapy, and gynecological massage.

Kegel exercises for uterine flexion

Kegel exercises for bend of the uterus allow you to strengthen and restore the elasticity of connective tissue strands, which ideally should support the natural location of the uterus in the pelvic cavity. Depending on the cause of the disease, therapeutic exercises are combined with other treatment methods or used independently, for example, with congenital deformity to prepare for pregnancy and upcoming childbirth, to prevent prolapse of the pelvic organs, urinary incontinence, and hemorrhoids.

There are several Kegel exercise techniques, which should be taught and combined for therapeutic purposes by a gynecologist:

“contraction” - the pelvic floor muscles alternately contract and relax; start the exercise with 10 repetitions 3-4 times a day, gradually the number of repetitions increases to several dozen, as well as the frequency of approaches;
“content” - movements similar to those described above, however, having contracted the muscles, it is necessary to maintain the tension for 5-10 seconds;
“lift” - alternating tension of the sections of the vagina, which must be strained from lower to upper with short pauses, and then also gradually relaxed (if you carefully perform the exercise, you can count up to 5 sections);
“waves” - alternating contraction of three groups of muscles of the perineum, forming three loops (around the urethra, vagina and anus); each turn contracts from front to back and relaxes in the reverse order;
“positioning” - performing any exercise not only in a standing position, but also lying down, sitting, squatting and on all fours.

Gynecological massage for uterine flexion

Gynecological massage for the bending of the uterus is prescribed due to certain reasons for its origin:

during the adhesive process,
with ovarian dysfunction,
with prolapse of the uterus and weakness of its muscles.

A surgical solution to the problem of bending often worries women. In some cases, after laparoscopy the problem may return. Gynecological massage turns out to be a non-surgical treatment method. Its advantages are as follows:

eliminates adhesions,
restores the correct position of the uterus,
normalizes blood circulation in the pelvic organs,
improves the tone of the uterus and its muscles,
restores fertility and prevents the risk of miscarriages.

Gynecological massage should be performed exclusively by a professional physician, for which the woman visits specialized departments with some regularity. The manipulation is carried out in a gynecological chair located at a certain angle, and the position of the footrests is also adjusted. During the massage, the patient moves to the edge of the chair, legs spread and resting on the footrests. A woman needs to relax, and report any pain, severe discomfort, or any changes in well-being to the doctor.

The doctor massages the uterus with both hands - one hand from the vaginal side, and the other outside, through the abdomen. The purpose of the procedure is to palpate the uterus from all sides, ensure its palpation as quickly as possible, painlessness, and if there are adhesions and scars on the ovaries, they must be broken and the ovaries massaged. The result of the course of procedures is the onset of pregnancy, improvement of the woman’s well-being, normalization of metabolism and improvement of sensitivity during sexual intercourse. The course is selected individually. The duration of the session can vary from 3-5 minutes to 10-20 minutes, depending on the condition and preparedness of the organs and cervix.

Gynecological massage is contraindicated for infectious diseases of the genitourinary system, elevated body temperature and menstruation, neoplasms in the pelvic organs, cervical erosion and congenital uterine flexion. Often, gynecological massage is prescribed after anti-inflammatory therapy and for adhesions.

Lifestyle changes

In addition to therapeutic exercises and gynecological massage, medicinal and surgical treatment methods bend of the uterus, the doctor will recommend that the woman, during treatment and in the future, to prevent relapse of the pathology, follow some rules in organizing her lifestyle:

proper and balanced nutrition,
vitamin therapy,
regular physical activity (including special therapeutic ones with control of their intensity and quality),
quality rest, sleeping on your stomach,
avoiding carrying heavy objects and excessive physical activity,
avoiding long periods of standing, as well as physical inactivity,
timely emptying of the bladder and bowels,
timely treatment of any gynecological diseases, regular visits to the gynecologist,
strict adherence to intimate hygiene.

Approximately 25% of women who encounter problems conceiving a baby learn about a cervical bend. This pathology, thanks to numerous myths, causes panic. Indeed, when the uterus is bent, the likelihood of conception is significantly reduced. But the correct approach to the problem and compliance with the doctor’s recommendations will allow a woman, even with an abnormal structure of the genital organs, to enjoy the joy of motherhood.

Description of the pathology

The bend of the uterus is a certain position in which its body deviates in any direction in relation to the cervix.

With a normal anatomical structure, the uterus is localized in the small pelvis, occupying the space between the large intestine and the bladder. In this case, it is placed parallel to the vagina. The stable position of the organ is ensured by special ligaments - dense cords.

It is thanks to the placement of the uterus and vagina in the same plane that the process of conception occurs easily, because there are no obstacles in the way of sperm.

The body of the organ is slightly tilted forward. The normal physiological angle between it and the cervix is 120–180 degrees. Vibrations of the organ provoke varying degrees of filling of the bladder or colon.

When the uterus is bent, the body of the organ is deviated towards the rectum

If a woman has an inclination angle of more than 180 or less than 120 degrees, the body of the uterus is shifted to the left or right of the vertical axis, then gynecologists diagnose a bend.

At-risk groups The pathological position of the uterus may be congenital

. This anomaly is an anatomical feature of a particular patient. But sometimes a woman or girl develops a bent uterus after birth.

There is a high risk of anomaly in individuals:
suffering from inflammatory processes (sluggish, long-term) in the reproductive system;
those who have undergone surgical interventions in the pelvis and peritoneum;
have had many births with complications;
who have worn an intrauterine device for a long time;
those who have had many abortions, which were accompanied by inflammation;
those in a supine position for a long period (as a result of illness);
suffering from tumor formations in the pelvis;

those who have experienced sudden weight loss (due to hard work and poor nutrition).

Varieties: deviation posteriorly, anteriorly, to the sides and other forms of curvature

Depending on the location of the organ, experts distinguish the following types of pathology:
Anteflexion. This is the most common position of the uterus. The organ is located near the bladder. Its bottom is directed anteriorly and upward. The neck is posterior and downward. It forms an obtuse angle with the body of the uterus, open anteriorly. This structure is observed in nulliparous patients. It is considered the norm. After childbirth, the uterus takes its standard position.
Hyperanteflexia. This structure implies anterior deviation of the body of the organ. With hyperanteflexia, the angle opens posteriorly.
Leteroflexion. This pathology is characterized by a sharp deviation of the uterus to one side (left, right). The body of the organ is directed towards one ovary.
Retroflexion. The body is directed towards the rectum. The uterus is deviated posteriorly.

The most common type is anteflexion or anteversion.. Sometimes specialists diagnose not only a bend, but also a rotation of the organ around its axis (the uterus is twisted).

Depending on the location of the uterus relative to the cervix, several types of pathology are distinguished

The bend of the uterus can be of 2 types:

Fixed. The body of the organ is in a stationary state. It is fixed in relation to other organs and the neck.
Mobile. Displacement of the uterine body occurs. A change in position relative to other organs of the small pelvis and cervix is observed during movements or changes in the patient’s posture.

Causes of pathology

Congenital bend (or primary) is formed during intrauterine development. This phenomenon occurs in women of short stature and asthenic physique. In most cases, the pathology is genetic in nature. This structure causes virtually no discomfort to the woman and often goes away on its own after childbirth..

Acquired pathology (or secondary) is formed under the influence of a number of processes occurring in the body, such as:

infantilism (underdevelopment) of the reproductive system;
hormonal disorders;
peritoneal injuries;
formation of adhesions and scars;
inflammation, infections of the reproductive system (endometritis, salpingitis, cervicitis, adnexitis, pelvioperitonitis);
weakness of supporting tissues;
postoperative complications;
the appearance of neoplasms in the pelvis;
difficult childbirth;
nervous exhaustion;
chronic stress;
tendency to constipation.

Some people are sure that a curvature of the uterus can form in a girl if the parents put the baby on the bottom early. Scientists have proven that there is no connection between placing a baby on the buttocks and impaired development of the genital organs. This is a common myth.

Characteristic symptoms of a bent uterus

The pathology may not cause any discomfort to the woman and may be completely asymptomatic.. The patient learns about the anomaly only at an appointment with a gynecologist.

If the uterus is bent, a woman may experience severe pain during her menstrual period.

But sometimes the following complaints appear:

Pain during menstruation. Discomfort is caused by stagnation of blood in the uterine cavity and incomplete emptying. This leads to abundant discharge or, on the contrary, scanty discharge. Blood clots may occur.
Pain during intercourse. This symptom occurs if the bend is caused by the formation of adhesions. During sex, they stretch, causing pain.
Increased urination. This phenomenon is observed with anteflexion and anteversion, in which the uterus presses on the bladder. Frequent urges can cause tumors.
Constipation. If the uterus deviates towards the rectum, then it can compress it. This leads to difficulties in the process of defecation.
Infertility. An abnormal structure may block the path of sperm movement. Another cause of infertility is adhesions.
Frequent miscarriages. Normal enlargement of the uterus during pregnancy is impossible due to bending. This leads to fetal death and, accordingly, miscarriage.

Diagnosis of cervical inflexion

The following methods are used to determine the bend:

Analysis of complaints. The doctor determines at what period the pain during menstruation and heavy discharge occurred. What factors preceded the violations.
Study of anamnesis. The gynecological diseases and surgical interventions suffered by the woman are analyzed. The doctor will examine the peculiarities of pregnancy and childbirth.
Study of menstrual function. The patient must tell when her first period came, what is its duration, and frequency. Are they accompanied by pain, how abundant are they?
Bimanual examination. This is a gynecological examination of the genitals, performed with both hands. During palpation (feeling), the doctor determines the size of the cervix, uterus, and ovaries. During the examination, organ soreness, mobility, and the condition of ligamentous tissues are determined.
Gynecological examination using speculum. The doctor visually assesses the condition of the cervix.
Ultrasound. Allows you to accurately determine the position of the uterine body relative to the cervix.

Differential diagnosis

Additional research methods are most often prescribed to study the reasons that provoked the bending of the uterus.

Ultrasound examination allows diagnosing cervical inflexion

Bacteriological examination of vaginal discharge. Using this analysis, the presence of infection and the type of pathogen are determined.
PAP test. Taking a Pap smear allows you to determine the presence of atypical cells. This study makes it possible to identify a precancerous or cancerous condition.
HPV test. A vaginal smear is taken from the patient to determine the presence of human papillomavirus in the body. This is a fairly common virus that includes many varieties. Some types of HPV can provoke the development of cancer.
Colposcopy. The study involves a detailed examination of the walls of the vagina and cervix using a special colposcope device that magnifies the image several times.
Biopsy. A piece of tissue is taken with a special needle and examined in detail under a microscope. Such a study is prescribed for neoplasms.
CT scan. A modern study that is recommended for women with suspected tumor formations in the pelvis.

Treatment methods

Congenital pathology almost never causes much trouble for a woman. It does not need treatment, because this is an individual feature of the structure of the genital organs. This anomaly can somewhat complicate the process of conceiving and bearing a child. But in most cases, the long-awaited pregnancy occurs.

The need for therapy arises only if it is determined that the bend of the uterus prevents a woman from becoming pregnant.

If the pathology is secondary, then methods are taken to get rid of the causes that provoked it. Treatment includes the following areas:

drug therapy;
gymnastics classes;
special gynecological massage;
physiotherapeutic methods;
surgical intervention;
treatment with folk remedies.

Drug treatment

After examining the patient and establishing the causes of the pathology, the gynecologist will recommend the appropriate medications to the woman:

Antibiotics. Prescribed if the bend is caused by an inflammatory process. The most common medications that may be recommended are:
- Ampicillin;
- Rifampicin;
- Ticarcillin;
- Piperacillin;
- Amoxicillin.
Non-steroidal anti-inflammatory drugs. The inflammatory process is often accompanied by severe pain. Therefore, therapy may include the following medications:
- Ketonal;
- Dexalgin;
- Brustan;
- Dolak;
- Naproxen;
- Advil;
- Melox;
- Oruvel.
Antiviral drugs. Such drugs are prescribed for the treatment of infectious pathologies of the genital area. Medications may be recommended:
- Zerit;
- Herpesin.
Hormonal medications. These medications are recommended for those patients whose uterine flexion has developed against the background of disrupted hormonal levels. The following drugs may be included in therapy:
- Logest;
- Mercilon;
- Silest;
- Marvelon;
- Femoden;
- Regulon.
Fibrinolytic drugs. These are medications that provide resorption of small adhesions. Medicines that effectively cope with this task:
- Longidaza;
- Chymotrypsin.
Laxatives. If a woman suffers from chronic constipation as a result of compression of the intestines by the uterus, then treatment may include medications that normalize the process of bowel movements. The following medications are prescribed:
- Tisasen;
- Bisacodyl;
- Regulax.
Vitamin complexes. To support the body and activate defenses aimed at fighting inflammatory processes, it is recommended to take vitamins. The following complexes are suitable for patients:
- Vitrum;
- Alphabet.

Medicines - photo gallery

Metronidazole is an antibiotic that gets rid of many bacterial infections Ketorol has analgesic, anti-inflammatory and anti-edema effects
Acyclovir is an antiviral drug that helps fight genital infections Novinet is a hormonal drug that eliminates hormonal imbalances Trypsin is intended for the resorption of adhesions Guttalax allows you to improve the process of bowel movement Duovit - vitamin complex for women

Therapeutic exercises for a bent uterus

Physical education when the uterus is bent ensures strengthening of the muscular tissues of the pelvis. This is especially important if the pathology has developed against the background of atrophy. Gymnastics is aimed at restoring the elasticity of the pelvic floor, so that the uterus takes a standard position.

To achieve positive results, gymnastics should be performed daily.

Simple physical exercises can help a woman cope with an unpleasant anomaly:

Kegel exercises

There is a special set of exercises that allows you to strengthen weakened muscles and connective tissues that support the uterus.

Depending on the type of pathology identified, gymnastics will vary somewhat. Therefore, a set of exercises should be selected exclusively by a doctor.

Kegel exercises include the following exercises:

Reduction. It is necessary to contract the pelvic floor muscles and then relax them. This exercise is repeated 10 times. During the day, 3-4 approaches should be completed. Over time, it is necessary to increase both the number of repetitions and the number of approaches.
Elevator. It is recommended to alternately strain each section of the vagina. You need to start from the bottom, gradually moving up. There should be a short pause between each section. Then the muscles are also gradually relaxed.
Compression. The pelvic muscles contract. In this state they linger for 5–10 seconds. Then comes relaxation.
Waves. The urethral loop is shortened. Then the entrance to the vagina is tightened. Next comes contraction of the anus. When all 3 muscle groups of the perineum are tense, relaxation begins, moving in the opposite direction (from the anus to the urethra).
Positioning. Any of the exercises is performed in several positions: standing, sitting, lying down, on all fours, squatting.

Gynecological massage

uterine prolapse;
adhesions;
weakness of the uterine muscles;
ovarian dysfunction.

Gynecological massage is an excellent non-surgical treatment method.

This event allows you to achieve the following positive results:

restore the natural position of the uterus;
get rid of adhesions;
normalize blood circulation in the pelvis;
improve muscle tone of the uterus;
prevent the risk of miscarriages;
restore fertility (a woman’s ability to conceive).

Massage can only be performed by a professional physician in a specialized institution. The duration of the procedure depends on the preparedness of the organs for the event and can vary from 3 minutes to 20.

The procedure is prohibited in case of infectious diseases, elevated temperature, the presence of neoplasms, or cervical erosion. Do not massage during menstruation. The event is contraindicated for congenital uterine flexion.

Physiotherapeutic methods

If the bend of the uterus is caused by adhesions and inflammatory processes, the gynecologist will recommend the woman a course of physical therapy.

Mud therapy is one of the effective procedures for the bending of the uterus, which has an analgesic, absorbable, anti-inflammatory effect

The following procedures are effective in combating pathology:

Electrophoresis. In this procedure, medications are administered through the skin or mucous membrane (vaginally) using an electric current.
Diadynamic therapy. The therapeutic effect is carried out by diadynamic currents with various impulses. The event improves tissue trophism, eliminates swelling, and provides stimulation of nerves and muscles.
Ultraphonophoresis. Medicines are introduced into the body using ultrasound.
Paraffin treatment. Purified paraffin is heated to a temperature of 50 ° C and applied as an application to the pelvic area. The compress is wrapped with oilcloth and a warm blanket on top.
Mud therapy. Therapeutic mud contains many useful substances. Penetrating into the body through the skin, they ensure increased blood supply and stimulate tissue trophism. Mud therapy has an analgesic, absorbable, antispasmodic, anti-inflammatory and regenerative effect.
Acupuncture. Special thin needles are inserted into certain points on the body. This event significantly reduces pain and reduces the severity of inflammation.

Surgical intervention

There are many different techniques that allow surgical therapy for uterine flexion. Sometimes the procedure is done manually. Under general anesthesia, the bend is straightened on a gynecological chair.

One of the most common operations is laparoscopy. It is undertaken if a woman’s pathology is provoked by an adhesive process.

The operation involves minimal dissection of the skin tissue and peritoneum. Special equipment is inserted into the holes, with the help of which the progress of the operation is displayed on the monitor screen. The surgeon, carefully controlling every movement, cuts the adhesions.

Laparoscopy is a modern, low-traumatic operation that allows you to give the correct position to the uterus

Then the doctor gives the correct position to the uterus, fixes it in its natural state with a pessary (a gynecological ring specially designed for such a procedure). This device will not allow the organ to move, thereby “accustoming” it to the correct position. As soon as the doctor notices that the uterus has taken its natural location, the pessary will be removed.

Folk remedies Traditional healers suggest using remedies that create conditions for correcting the pathological placement of the uterus. In order for the organ to take its normal position, douching with highly astringent components is recommended. But it is important to remember that folk remedies cannot replace the treatment prescribed by a doctor.

. They are an additional therapy for pathology.

The following folk remedies are useful:
- Oak bark decoction:
- a pinch of bark (20 g) is added to water (1 l);
- The mixture is boiled over low heat for 20 minutes;
- filter;
- dilute the liquid with cold water to obtain a warm solution;
This decoction is douched twice a day for 14 days.
- St. John's wort solution:
- dry grass (3–4 tbsp. l) is filled with water (2 l);
- boil the composition for 15–20 minutes;
- the solution is used for douching daily 1-2 times a day for 2 weeks.
Potentilla decoction:
- raw materials (1 tbsp.) are poured with warm water (1 tbsp.);
- bring the mixture to a boil and continue cooking for 5 minutes;
- After cooling and straining the broth, use it for the douching procedure.

Before using traditional medicine, be sure to consult your doctor.

Folk remedies - gallery

A decoction of oak bark is an excellent remedy for douching. St. John's wort decoction is a solution with high astringent properties. Potentilla erecta root is used to treat gynecological pathologies

Treatment prognosis

This pathology has become overgrown with many myths. Therefore, a woman, having heard about a bent uterus, often believes that the joy of motherhood is impossible for her.

Doctors, studying the patients’ stories, hasten to reassure them that the prognosis for the pathology is favorable. In most cases, the anomaly does not require treatment and does not interfere with the conception of a child.

But some women will still need therapy. Such patients must strictly follow all doctor’s prescriptions. And if surgical intervention is needed, you should not refuse it.

Possible complications

Bend of the uterus can provoke the following consequences:

infertility;
dyspareunia (discomfort and pain during sexual intercourse);
chronic constipation;
painful, prolonged menstruation.

Preventive actions

Along with the medical procedures prescribed by the gynecologist, the woman needs to reconsider her lifestyle.

A woman’s diet should include a sufficient amount of fresh fruits and vegetables

To ensure effective prevention, you must follow these recommendations:

Proper and nutritious nutrition. The diet includes a sufficient amount of animal proteins (cottage cheese, meat). The diet is enriched with fresh fruits and vegetables. Cereals are useful.
Taking vitamins. The necessary complexes are prescribed by the doctor.
Complete rest. Chronic fatigue or exhaustion can trigger a relapse.
Refusal to stay on your feet for a long time.
Regular physical activity. At the same time, pathology can be provoked by both excessive exercise and inactivity. Therefore, when planning loads, you need to discuss them with your doctor.
Timely emptying of the intestines and bladder. It is strictly forbidden to restrain the urge to urinate. For constipation, you can use a laxative. If the process becomes chronic, you should consult a doctor.
Sleeping on your stomach. This improves blood supply to the organ.
Refusal to lift weights.
Regular visits to the gynecologist. In the absence of unpleasant symptoms, a woman should visit a doctor 2 times a year.
Maintain personal hygiene.
Timely diagnosis and adequate treatment of gynecological diseases.

Bend of the uterus - video

Don’t be scared or panic when you hear about a bent uterus. This pathology is not a death sentence at all! Many women who were diagnosed with this anomaly were able to conceive and bear healthy children normally.