Daily Health Tips: Tilted Uterus


Q: I have been trying to get pregnant for years now ma’am. We spent all we had. Just last month, I went (……. ) so where they said my womb is by the side. The woman said she is going to move it to the right place. Ma’am, please is it possible?

A: Thanks for writing in dear. Your question was not very clear and I had to piece it together.

I have had someone write in before and ask me whether it’s okay to go for womb setting. I would say, do not allow anyone who is not a medical practitioner lay hands on your tummy/uterus to set or reposition it. More harm than good may be done.

Now, if your womb is tilted, there is a medical solution to it.

Normally, a uterus tilts forwards at the cervix towards the stomach. In some women, however, the uterus tilts backwards inside the pelvis towards the spine. This is called a retroverted or tilted uterus. Many women with this condition are born with it but some women may develop it after birth as a result of:

  • Pregnancy: During pregnancy, the ligaments holding the uterus in place become weak and so after pregnancy, some women now find their uteri tilted.

 

  • Prior surgery, infections and disease conditions like endometriosis may lead to a tilted uterus. In these cases, conception may be difficult but not impossible. Patients here may benefit from seeing a fertility doctor.

 

For more on endometriosis and pelvic inflammatory disease, please click on these links:

https://chatwithdrketch.com/2016/06/02/daily-health-tips-can-pid-block-my-fallopian-tubes/

https://chatwithdrketch.com/2014/05/25/daily-health-tips-whats-an-ovarian-cyst/

 

  • Menopause: Estrogen deficiency in menopause also leads to weakened ligaments such that the uterus now becomes tilted.

A retroverted uterus is usually an incidental finding as most women experience no symptoms. The women with symptoms usually complain of pain during menstruation and pain during sexual intercourse. Other symptoms include lower back pain, incontinence, difficulty with passing stool or urine.

Treatment for this include:

Kegel exercises: The exercise mimics the movements we make when we want to stop the flow of urine. Try holding this for about 10 seconds and then doing about 10 repetitions per set. Try about 4 to 6 sets per day and increase this as you feel ready.

Knee to chest exercise: Lie flat on your back and place both feet on the floor with both knees bent. With your left foot still flat on the floor, bring your right knee to your chest. Hold this position for about 15 to 30 seconds and then return your leg to the floor. Do about 10 reps of this exercise on each leg 3 times a day. This can help return a tilted uterus to a forward position.

Vaginal pessaries (plastic devices) which help to hold the uterus in position.

Surgery can also help to shorten (tighten) the weakened ligaments and thus return the uterus to its rightful position.

I hope this helps you. Please seek out a good gynaecologist and let him/her help you.

Have a good night, everyone 😀

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