Approximately 25% of women who have problems conceiving a baby learn about the bend of the cervix. Such a pathology, thanks to numerous myths, causes panic. Indeed, with the bending of the uterus, the likelihood of conception is significantly reduced. But the right 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 pathology

The bend of the uterus is a certain position in which her 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 strands.

It is thanks to the placement of the uterus and vagina in the same plane that the process of conception is easy, because spermatozoa have no obstacles in their way.

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 various degrees of filling of the bladder or colon.

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

At-risk groups

The pathological position of the uterus can be congenital. Such an anomaly is an anatomical feature of a particular patient. But sometimes the bend of the uterus develops in a woman or girl after birth.

There is a high risk of anomalies in individuals:

• suffering from inflammatory processes (sluggish, long-term) in the reproductive system;
• who underwent surgical interventions in the pelvis and peritoneum;
• who had many childbirth, occurring with complications;
• wearing an intrauterine device for a long time;
• who have undergone many abortions, which were accompanied by inflammation;
• lying down for a long period (as a result of illness);
• suffering from tumor formations in the small pelvis;
• faced with a sharp weight loss (against the background of hard work, poor nutrition).

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

Depending on the localization of the organ, specialists distinguish the following types of pathology:

1. Anteflexia. This is the most common position of the uterus. The organ is located near the bladder. Its bottom is directed anteriorly and upwards. The neck is backwards and downwards. With the body of the uterus, it forms an obtuse angle, anteriorly open. This structure is observed in nulliparous patients. It is considered the norm. After childbirth, the uterus takes its standard position.
2. Anteversion. Pathology is very similar to anteflexia. But with this structure, both the body of the uterus and the cervix deviate. They line up.
3. Hyperanteflexia. Such a structure implies the deviation of the body of the organ anteriorly. With hyperanteflexia, the posterior angle opens.
4. Leteroflexia. 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.
5. Retroflection. The body is directed towards the rectum. The uterus is tilted backwards.

The most common is anteflexia or anteversion.. Sometimes experts diagnose not only the bend, but also the rotation of the organ around the 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:

1. Fixed. The body of the organ is in a stationary state. It is fixed in relation to other organs and the neck.
2. Mobile. There are displacements of the body of the uterus. A change in position relative to other organs of the small pelvis and neck is observed during movements or changes in the patient's posture.

Causes of pathology

The congenital bend (or primary) is laid down during fetal development. This phenomenon occurs in women of short stature and asthenic physique. In most cases, the pathology is genetic in nature. Such a structure practically does not cause discomfort to a woman and often goes away on her 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 injury;
• the formation of adhesions, 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;
• constipation.

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

Typical symptoms of a bent uterus

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

But sometimes there are such complaints:

1. Pain during menstruation. Discomfort is provoked by stagnation of blood in the uterine cavity, its incomplete emptying. This leads to copious secretions or, conversely, meager. Blood clots may be observed.
2. Pain during intercourse. This symptom occurs if the bend is caused by the formation of adhesions. During sex, they stretch, causing pain.
3. Frequent urination. This phenomenon is observed with anteflexia, anteversion, in which the uterus presses on the bladder. Frequent urges can provoke tumors.
4. Constipation. If the uterus deviates towards the rectum, then it is able to squeeze it. This leads to difficulties in the defecation process.
5. Infertility. An abnormal structure can block the path for the movement of spermatozoa. Adhesions are another cause of infertility.
6. Frequent miscarriages. Normal enlargement of the uterus during pregnancy is impossible due to bending. This leads to the death of the fetus and, accordingly, miscarriage.

Diagnostics of the bend of the cervix

The following methods are used to determine the bend:

1. Analysis of complaints. The doctor establishes in what period the pain occurred during menstruation, copious discharge. What factors preceded violations.
2. The study of anamnesis. Gynecological diseases suffered by a woman, surgical interventions are analyzed. The doctor will consider the features of the course of pregnancy, childbirth.
3. The study of menstrual function. The patient should tell when the first menstruation came, what is their duration, frequency. Whether they are accompanied by soreness, how plentiful.
4. bimanual research. This is a gynecological examination of the genital organs, carried out with two hands. The doctor during palpation (palpation) determines the size of the cervix, uterus, ovaries. During the examination, the soreness of the organs, mobility, and the condition of the ligamentous tissues are determined.
5. Gynecological examination with the help of mirrors. The doctor visually assesses the condition of the cervix.
6. ultrasound. Allows you to accurately determine the position of the body of the uterus relative to the cervix.

Differential Diagnosis

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

1. Bacteriological examination of vaginal discharge. With the help of such an analysis, the presence of infection and the type of pathogen are determined.
2. 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.
3. Analysis for HPV. A vaginal swab is taken from the patient to determine the presence of the human papillomavirus in the body. This is a fairly common virus that combines many varieties. Some types of HPV can trigger the development of cancer.
4. Colposcopy. The study involves a detailed study of the walls of the vagina and cervix using a special colposcope device that magnifies the image several times.
5. Biopsy. A piece of tissue is taken with a special needle, which is studied in detail under a microscope. Such a study is prescribed for neoplasms.
6. 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. She does not need treatment, because this is an individual feature of the structure of the genital organs. Such an 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 established that the bending of the uterus prevents a woman from becoming pregnant.

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

• drug therapy;
• gymnastics;
• special gynecological massage;
• physiotherapy methods;
• surgical intervention;
• treatment with folk remedies.

Medical treatment

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

1. Antibiotics. It is prescribed if the bend is provoked by an inflammatory process. The most commonly recommended medications are:
   • Ampicillin;
   • Rifampicin;
   • Ticarcillin;
   • Piperacillin;
   • Amoxicillin.
2. Non-steroidal anti-inflammatory drugs. The inflammatory process is often accompanied by severe pain. Therefore, therapy may include such medications:
   • Ketonal;
   • Dexalgin;
   • Brustan;
   • Dolac;
   • Naproxen;
   • Advil;
   • Melox;
   • Oruvel.
3. Antiviral drugs. Such funds are prescribed for the treatment of infectious pathologies of the genital area. Medications may be recommended:
   • Zerit;
   • Herpes.
4. Hormonal medicines. These drugs are recommended for those patients in whom the bend of the uterus has developed against the background of a disturbed hormonal background. Therapy may include drugs:
   • Logest;
   • Mercilon;
   • Silest;
   • Marvelon;
   • Femodene;
   • Regulon.
5. fibrinolytic drugs. These are medicines that provide resorption of small adhesions. Effectively cope with this task drugs:
   • Longidase;
   • Chymotrypsin.
6. Laxatives. If a woman suffers from chronic constipation as a result of squeezing the uterus of the intestine, then medications may be included in the treatment that normalize the defecation process. The following medications are prescribed:
   • Tisasen;
   • Bisacodyl;
   • Regulax.
7. Vitamin complexes. To support the body and activate the protective forces aimed at combating inflammatory processes, it is recommended to take vitamins. Patients are suitable for such complexes:
   • Vitrum;
   • Alphabet.

Medicines - photo gallery

Metronidazole is an antibiotic that cures many bacterial infections. Ketorol has analgesic, anti-inflammatory and anti-edematous effects
Acyclovir is an antiviral agent that helps fight genital infections Novinet - a hormonal drug that eliminates hormonal disorders Trypsin is designed to dissolve adhesions Guttalax allows you to establish the process of bowel movement Duovit - vitamin complex for women

Therapeutic exercises with a bent uterus

Physical education with the bend of the uterus provides strengthening of the muscle 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 occupies a standard position.

To achieve positive results, gymnastics must 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 the weakened muscular apparatus, 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:

1. Reduction. It is necessary to contract the muscles of the pelvic floor, 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.
2. Elevator. It is recommended to alternately strain each of the sections of the vagina. It is necessary to start from the lowest, gradually rising up. Between each department you need to provide a small pause. Then also gradually relax the muscles.
3. Compression. The pelvic muscles contract. In this state, they linger for 5-10 seconds. Then comes relaxation.
4. Waves. Reduce the loop of the urethra. Then strain the entrance to the vagina. The next is the reduction 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).
5. Positioning. Any of the exercises is performed in several positions: standing, sitting, lying down, getting on all fours, squatting down.

Gynecological massage

• prolapse of the uterus;
• adhesive processes;
• weakness of the muscles of the uterus;
• 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 readiness of the authorities for the event and can vary from 3 minutes to 20.

The procedure is prohibited for infectious diseases, elevated temperature, the presence of neoplasms, cervical erosion. Do not massage during menstruation. The event is contraindicated for congenital bending of the uterus.

Physiotherapy methods

If the bend of the uterus is provoked by adhesive and inflammatory processes, then the gynecologist will recommend a course of physiotherapy to the woman.

The following procedures are effective in the fight against pathology:

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

Surgical intervention

There are many different techniques that allow for surgical therapy with the bending of the uterus. Sometimes the procedure is carried out manually. Under general anesthesia on the gynecological chair, the bend is straightened.

One of the most common operations is laparoscopy. It is undertaken if the pathology in a woman is provoked by an adhesive process. The operation involves minimal dissection of the skin tissues 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, dissects the adhesions.

Laparoscopy is a modern low-traumatic operation that allows you to give the correct position of 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 this procedure). This device will not allow the body to move, thereby "accustoming" it to the correct position. As soon as the doctor notices that the uterus has taken its natural place of localization, the pessary will be removed.

Folk remedies

Traditional healers suggest using means that create conditions for correcting the pathological placement of the uterus. In order for the body 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 the doctor.. They are an additional therapy for pathology.

Useful such folk remedies:

1. Decoction of oak bark:
   • 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 get a warm solution;
   • douche with this decoction twice a day for 14 days.
2. Hypericum solution:
   • dry grass (3–4 tbsp. l) is poured with water (2 l);
   • the composition is boiled for 15–20 minutes;
   • after filtering, allow the broth to cool to a comfortable temperature;
   • the solution is used for douching daily 1-2 times a day for 2 weeks.
3. Potentilla decoction:
   • raw materials (1 tbsp.) are poured with warm water (1 tbsp.);
   • the mixture is brought to a boil and continue to cook for 5 minutes;
   • after cooling and filtering the broth, it is used 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 - a solution with high astringent properties Potentilla erectus root is used to treat gynecological pathologies

Treatment prognosis

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

Doctors, studying the history of patients, are in a hurry to reassure - the prognosis of the pathology is favorable. In most cases, the anomaly does not need treatment and does not prevent the conception of a child.

But some women will still need therapy. Such patients must strictly comply with all doctor's prescriptions. And if you need surgery, then you should not refuse it.

Possible Complications

The bend of the uterus can provoke the following consequences:

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

Preventive actions

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

To ensure effective prevention, you must follow these recommendations:

1. Proper and nutritious nutrition. The diet implies a sufficient amount of animal proteins (cottage cheese, meat). Food is enriched with fresh fruits and vegetables. Useful cereals.
2. The use of vitamins. The necessary complexes are prescribed by a doctor.
3. Complete rest. Chronic fatigue or exhaustion can trigger a relapse.
4. Refusal to stay on your feet for a long time.
5. Physical regular exercise. At the same time, both excessive sports and inactivity can provoke pathology. Therefore, when planning loads, it is necessary to discuss them with your doctor.
6. Timely bowel and bladder emptying. It is strictly forbidden to restrain the urge to urinate. For constipation, you can use a laxative. If there is a chronic process, then you need to see a doctor.
7. Sleep on the stomach. This improves the blood supply to the organ.
8. Refusal to lift weights.
9. Regular visits to the gynecologist. In the absence of unpleasant symptoms, a woman should visit a doctor 2 times a year.
10. Compliance with personal hygiene.
11. Timely diagnosis and adequate treatment of gynecological diseases.

Curvature of the uterus - video

Do not be afraid or panic when you hear about the bend of the uterus. This pathology is not a sentence at all! Many women diagnosed with this anomaly were able to conceive and normally bear healthy children.

When trying to conceive a baby, women often face an unpleasant reason for not getting pregnant: the bending of the uterus, the treatment of which takes time, becomes an obstacle on the way to motherhood. Many are also faced with the fact that the doctor diagnoses the bending of the cervix after childbirth. Treatment, preventive measures for bending are prescribed by a gynecologist, but if you suspect that you have this disease, it is better to go to the appointment fully armed.

What is uterine tilt

Retroflection is a pathology that can be found in literally every fifth woman. A curved uterus prevents sperm from reaching their target, which is why many women cannot get pregnant. By itself, the type of bend can be divided into congenital and acquired. If you were born with a bend, nothing threatens you, and you may not know about it for the rest of your life. Another thing is if the diagnosis interferes with normal life or does not allow plans to be carried out.

The reasons

A bend can be diagnosed in a single ultrasound session, but extensive research will be needed to find out what caused the problem to form. There are some of the most common versions:

• weak muscles and ligaments of the pelvis;
• a consequence of an inflammatory disease, possibly not cured;
• great physical activity;
• tumors of the uterus and ovaries;
• frequent violation of the gastrointestinal tract;
• after abdominal operations (appendicitis, abortion, caesarean section).

Location options

There are several types of pathology:

• Anteflexia - a bend towards the bladder with the formation of an obtuse angle. This type is typical for nulliparous women and does not interfere with the course of pregnancy, and after the birth of a child, the organ itself takes the desired shape.
• Anteversia is a type almost similar to the first, except that, in addition to the uterus, the fallopian tube also leaves anteriorly.
• Hyperanteflexia is a condition during which the uterus in the bend almost completely folds in half (kink).
• Retroflexion is the most standard bend back towards the rectum.
• Lateroflexia - deviation to the right or left towards one of the ovaries.

Symptoms

It all depends on the type of bend, but there are symptoms that many women complain about, for example:

• severe pain in the abdomen during menstruation;
• weakness of the whole body;
• sharply fluctuating amount of blood discharge;
• blood clots;
• intermenstrual discharge;
• painful intercourse;
• infertility;
• problems with the gastrointestinal tract or with urination.

What is dangerous bending of the uterus

If the pathology is congenital, then nothing threatens at all. This can be considered such a small feature, but if something caused its occurrence and you are accompanied by constant pain (during menstruation, sex, etc.), then you should sign up for a gynecological examination and undergo an individual course of treatment. If, in addition to painful sensations, you are concerned about difficulties with pregnancy (problems with conception, a difficult pregnancy process, difficulties with childbirth, the uterus is backwards during pregnancy), you definitely cannot do without a doctor, and you do not need to endure or wait it out.

How to get pregnant with a tilted uterus

In most cases, the bending of the uterus does not cause problems with the reproductive system, but if you have not been able to get pregnant for a year with regular unprotected sex, this should be corrected. So is it possible to get pregnant if the uterus is bent? Painful sensations are formed in those women in whom the bend with the help of adhesions has grown together with the muscles. Due to the formation of an adhesive process of an acute angle, pain appears and it is not possible to conceive a child. So, you need to get rid of adhesions.

If there is a curvature of the uterus, a curved uterus, a retroversion of the uterus, it is better to choose positions that will facilitate the entry of seminal fluid to the uterus. Perfect missionary, or on the side. After the completion of sexual intercourse, you should not immediately get up, because this way most of the fluid will flow out. Lie on your back, put a pillow under your ass - so your torso will be tilted. Lie down for 10-20 minutes so that the uterus with a bend receives the right amount of sperm.

How to treat a tilted uterus

Often adhesions are the cause of the bend. To get rid of them, laparoscopy (a special operation) is performed. With an infectious nature, anti-inflammatory drugs are prescribed, but this is not enough - after treatment, procedures are needed that will prevent relapse. To do this, after recovery, hormonal drugs, physiotherapy, or a complex of physiotherapy exercises, such as Kegel exercises, which have proven to be the best exercises for mobile pelvic muscles, are prescribed.

Medical therapy

Curl treatment with medications is addressed if the cause of the formation is inflammation. A number of drugs are prescribed: antibacterial, hormonal, antibiotic, vitamins and drugs that resolve adhesions. They will relieve inflammation, neutralize adhesions, strengthen the structure of the uterus and prevent relapse. It will be most effective to combine this method with exercise therapy, which affects the organs of the MT.

Exercises

Kegel exercises are prescribed to strengthen the pelvic floor muscles. They are good because they can be made at home. The formation of strong muscles will not only prevent re-adhesions, but also improve the sensations for you and your sexual partner during sex. It is important to note that for the treatment of bending, displacement forward or backward, only a doctor should prescribe exercises. On your own, you risk aggravating your condition.

An example of Kegel therapeutic exercises:

1. "Reduction". Tighten your pelvic muscles one by one. Such contractions should be done 10 times at least 3 times a day. Over time, the number of approaches and repetitions must be increased.
2. "Elevator". To perform, imagine that the vagina is divided into sectors. Tighten and relax these sectors in turn, while the “elevator” should rise from the bottom up and then go down. The number of times is similar to the "reduction" with increasing load.
3. "Positioning". The essence of this is that the 1st and 2nd exercises should be performed in a different position. For example, lying down, standing on your feet, squatting, all fours, sitting.

Massage

As a medical therapy, massage is prescribed in cases where the cause of the bend is inflammation, flabbiness of the pelvic muscles, or ovarian dysfunction. It is contraindicated in congenital bending and if the patient suffers from an infectious disease of the genitourinary system, an incorrect menstrual cycle, high fever, endometriosis. This method is good in that it helps to restore the correct position of the uterus, improve the muscles of the pelvic floor and neutralize adhesions without surgical intervention and consequences.

The massage procedure is carried out by a physician, who himself appoints the frequency of visits. During the procedure, the woman is in the gynecological chair, and the doctor massages the walls of the vagina with one hand, and the stomach with the other. This procedure provides an increase in the chances of pregnancy, improves the woman's well-being during intercourse and removes the bend. It is forbidden to massage during menstruation, signs of an inflammatory process.

Surgery

Doctors resort to this method as a last resort due to the availability of alternatives, but if the displaced uterus remains motionless (fixed type), surgery is performed. During the surgical intervention, adhesions are removed, the musculoskeletal apparatus is strengthened, which leads to the normalization of the position of the reproductive organ. This operation itself is simple and has low risks, but when the doctor sees an alternative, it is better to use it.

Video

“Uterine bend” is a deviation of the position of the uterus from its standard position, which is most often congenital, although it can also form as a result of any pathological conditions, most often of an inflammatory nature.

Causes of the bend of the uterus

It is important to understand the following - the “bend of the uterus”, present from birth, is not a pathology, it is not a problem that must be urgently rushed to be solved. Such a bend does not manifest itself in any way. In the event that the doctor attaches paramount importance to the “bend of the uterus” when explaining the causes, for example, pain or infertility, we can say with 90% certainty that he is not qualified. To consider the “bend” as the main cause of any gynecological pathology, to sin on it in case of problems, is stupid and unprofessional. The so-called bend is in 95% of cases just anatomical the location of the organ, characteristic of a particular woman.

The situation is different in the case when the position of the uterus changes in the course of some pathological process. Most often - adhesive process in the abdominal cavity. It can form in women with a long-term inflammatory process, untreated endometriosis, and, of course, in patients who have undergone surgery on the organs of the abdominal cavity and small pelvis.

Location of the uterus in the pelvis

How can the uterus be located in the small pelvis? The following location options are available:

1. Anteflexio - occurs most often, the uterus is closer to the center of the pelvis, the bottom of the uterus is turned upwards and anteriorly, the vaginal part of the cervix is ​​downwards and backwards; an obtuse angle is formed between the cervix and the body of the uterus, open anteriorly.
2. Anteversio - approximately the same as the previous one, only the body and cervix are in the same line.

Less often it may be:

3. Hyperanteflexia - in this case, the body of the uterus is strongly deviated anteriorly, the angle turns out to be open posteriorly.
4. Retroflexio- the deviation of the body of the uterus is strongly posterior - this is called the notorious "bend of the uterus."
5. Leteroflexia - a sharp deviation from the axis to the left and right.

Curvature of the uterus schematically

In addition, for many reasons, the uterus can rotate around the longitudinal axis, twist.

It is also important to note the following - the location of the uterus largely depends on the state of the ligamentous apparatus of the uterus, which may weaken over time or due to pathological reasons. In this case, they talk about the omission or prolapse of the organ. This condition certainly requires treatment, but it is hardly possible to tie the “bend of the uterus” to such a rather serious problem.

Finding out the cause of retroflexion of the uterus, with this kind of anatomy in this particular patient, is stupid and not rational. It is logical to consider the causes of pathological retroflexion:

1. Adhesive disease - the formation of connective tissue fibers, against the background of an inflammatory process that has taken place or after surgical treatment, a fairly common pathology. As a rule, it does not lead to any pathological changes in the functioning of the organ, but sometimes it can cause some of the problems.
2. Atrophy of the muscular apparatus - weakening of the ligaments, is typical mainly in older women and in patients with mesenchymal (connective tissue) insufficiency.
3. In young girls, due to the underdevelopment of the ligamentous apparatus, pathological retroflexion is also possible.
4. The deviation of the position of the uterus can also be affected by the pathology of other organs located in the small pelvis, their anatomical and functional changes (tumors of the bladder, large intestine, etc.).

Symptoms of a pathological bend of the uterus

The main complaint of women with pathological retroflexia is pain and pathology of menstruation: again, increased soreness, an increase or decrease in the amount of blood, etc.

There may be complaints of pain during sexual intercourse (dyspareunia). There may be problems with carrying a pregnancy, sometimes there may be problems with conception.

Extremely rarely, when combined with uterine myoma or its tumor, compression of the organs may occur, and complaints of frequent urination or constipation may appear.

How to get pregnant with a tilted uterus

All the talk about the fact that the “bend of the uterus” is becoming a serious problem for conception is absurd in itself. The true cause of infertility is the adhesive process in the abdomen.- only with it, the problem of infertility may appear due to the anatomical impossibility of passing a normal number of spermatozoa through the cervix due to the formation of an acute angle between the body and the cervix. Only pronounced adhesive process can "bend the uterus" so that it will cause infertility. In all other cases, no “bend” can prevent the onset of pregnancy, unless, of course, there is some other concomitant pathology. Therefore, all activities for the onset of pregnancy, such as having sex while lying on the stomach, etc. stupid in essence - if you do not eliminate the primary focus, you will not be able to radically solve the problem.

Diagnosis of the bend of the uterus

The diagnosis of this condition is not difficult. As a rule, it is detected during a routine gynecological examination, during a vaginal examination. Confirmation can be obtained by doing an ultrasound with a vaginal probe.

Treatment of the bend of the uterus

From the foregoing, it follows that the real method of treating pathological retroflexio (bending) is to eliminate the root cause - dissection of adhesions in the small pelvis by surgical intervention. In most cases, a laparoscopic operation is sufficient, although, unfortunately, the adhesive process can be so strong that a ventricular surgery may be required. In addition, antibiotic treatment is necessary for the inflammatory process. Physiotherapeutic methods are possible: UHF, mud therapy.

Let us repeat for the last time what is already so logical in the light of what was written above - only pathological retroflexio requires treatment, in which real complaints appear and when other causes are eliminated, it remains the only possible cause of the pathology.

Treatment of the anatomical "bend" is not required.

Obstetrician-gynecologist Kupatadze D.D.

BEND, bend, husband. 1. What is bent; bent place, bend. Page fold in a book. Bend of the uterus (women's disease, consisting in abnormal displacement of the uterus). 2. trans. Extreme, exaggeration, excessive and therefore harmful zeal in ... ... Explanatory Dictionary of Ushakov

BEND, ah, husband. 1. See bend over. 2. Curved place, bend. Folds on the sheets in the book. 3. trans. Harmful extreme in what n. activities (colloquial). Explanatory dictionary of Ozhegov. S.I. Ozhegov, N.Yu. Shvedova. 1949 1992 ... Explanatory dictionary of Ozhegov

Ivanych (Petrov). 1. Jarg. arrest, lag. Iron. Dead body. Baldaev 1, 137; BBI, 82. 2. Jarg. arrest, lag., they say. Iron. Death. SRVS 3, 62; Bykov, 77; Maximov, 137 ... Big dictionary of Russian sayings

bend- ZAGIBON, a, ZAGIBON, a, m. Lies, fiction, fantasy, fabrication. From the common simple. "bend" lie, exaggerate ... Dictionary of Russian Argo

bend- An element of a bent profile. Engineering topics in general… Technical Translator's Handbook

bend- , a, m. disapproved. Extreme, exaggeration, excessive and therefore harmful zeal in the implementation of something. ◘ Of the rethought words of this group, one should name “bend”. Ilyenko, Maksimova, 272. A bend is a harmful extreme, an exaggeration. Protchenko ... Explanatory Dictionary of the Language of Soviet Deputies