Retroverted uterus (patient information)

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Editor-in-Chief: C. Michael Gibson, M.S.,M.D. [mailto:mgibson@perfuse.org] Phone:617-632-7753; Associate Editor(s)-In-Chief: Lakshmi Gopalakrishnan, M.B.B.S.

Synonyms and Keywords: Uterus retroversion; Malposition of the uterus; Tipped uterus; Tilted uterus

Overview
Retroversion of the uterus occurs when a woman's uterus (womb) tilts backward rather than forward. It is commonly called a "tipped uterus."

What are the symptoms of Retroverted uterus?

 * Retroversion of the uterus almost never causes any symptoms.
 * Rarely, it may cause pain or discomfort.

What causes Retroverted uterus?

 * Retroversion of the uterus is common. It is the normal uterine position in about 20% of all women.


 * Weakening pelvic ligaments associated with menopause may cause this condition in women who previously did not have a retroverted uterus.


 * Enlargement of the uterus, either as the result of a pregnancy or a tumor, may also lead to retroversion.


 * Scar tissue in the pelvis (pelvic adhesions) can also hold the uterus in a retroverted position. Such scarring may result from:
 * Endometriosis
 * Pelvic inflammatory disease
 * Salpingitis
 * Pelvic surgery

When to seek urgent medical care?
Call your health care provider if you develop persistent pelvic pain or discomfort.

Diagnosis

 * A pelvic examination reveals the position of the uterus. However, a tipped uterus can sometimes be mistaken for a pelvic mass or an enlarging fibroid.


 * A rectovaginal exam may be used to distinguish between a mass and a retroverted uterus.


 * An ultrasound examination can be used to determine the exact position of the uterus, if necessary.

Treatment options

 * Treatment is usually not necessary.
 * Any underlying disorders (such as endometriosis or adhesions) may be treated as needed.

Where to find medical care for Retroverted uterus?
Directions to Hospitals Treating Retroverted uterus

What to expect (Outlook/Prognosis)?
Usually this condition does not cause problems.

Possible complications
Atypical positioning of the uterus may be caused by endometriosis, salpingitis, or pressure from a growing tumor. These conditions should be ruled out in a patient with pain or other symptoms.

Prevention

 * There is no known prevention.
 * However, early treatment of PID or endometriosis may reduce the chances of a change in the position of the uterus.

Source
http://www.nlm.nih.gov/medlineplus/ency/article/001506.htm