Causes of uterine collapse, symptoms, treatment tactics
Uterine curvature is a change in the angle between the body of the uterus and its cervix. The organ really looks like it is bent towards the spine. Some patients live with this pathology all their lives, without experiencing any physical and physiological discomfort, and in some, the consequences of the death of the uterus can be quite serious. This pathology is also called retroflexion of the uterus.
Definition of pathology
Normal location of the uterus - in which the organ is located in a space limited by the bladder in front and the rectum behind, while the body of the uterus forms an angle with its neck, which is open forward. This arrangement is called anteflexion. It allows the uterus to be mobile and respond to changes in the location of neighboring organs.
Anteflexion is supported by the action of the following factors:
- tone of the uterus. If it changes with pathology, the question arises as to how to get pregnant with the death of the uterus;
- elasticity of the ligaments of the uterus;
- abdominal press;
- elasticity of the pelvic floor;
- neighborhood of other bodies.
If retroflexion develops, the body of the uterus is deviated to varying degrees to the vertebral column, while it forms an angle with the cervix that opens back. With this state of affairs, not only the location of the uterus itself in the pelvic cavity changes - it threatens with negative consequences for other organs. Thus, the described pathological deviation of the uterus contributes to:
- pressure on the muscle masses and ligaments that hold the uterus in a certain position;
- pressure on the uterus itself from the intestinal loops;
- intestinal pressure on the back surface of the bladder.
Such changes in the final result lead to the lowering and even falling out of the internal genital organs of a woman. If they have developed, recommendations on which positions are best for conceiving a child when the uterus dies will no longer help.
Types and causes of uterine death
The bend of the uterus happens:
- mobile;
- fixed.
The causes of uterine collapse can be very different. The mobile form of the bend of the uterus develops against the background of the following factors:
- decrease in tone of the pelvic floor;
- stretching of muscles and ligaments that support the uterus in a normal position;
- asthenic body type (tall thin women);
- sharp weight loss - deliberate or due to serious diseases;
- prolonged bed rest due to severe medical conditions, injuries, critical conditions (coma);
- improper nutrition;
- birth injuries. The question of how to treat the curvature of the uterus after childbirth is one of the most pressing;
- disruption of the development of a woman's internal genital organs;
- abortions that are often performed;
- hard physical work (especially associated with lifting and carrying heavy objects.
The fixed type of curvature of the uterus is manifested by the restriction of its physiological movements, which can end in complete immobilization of the organ. The cause of this type of uterine curvature is the formation of cords in the small pelvis. They are most often formed against the background of inflammatory processes, such as:
- endometritis;
- adnexitis;
- pelvioperitonitis;
- endometriosis.
Symptoms of uterine collapse
Symptoms may be absent in the mobile type of this pathology.
And in the case of the development of a fixed type of disease, the symptoms of uterine involution are characteristic of the disease that provoked the formation of uterine involution. Most often it is:
- feeling of heaviness in the lower abdomen and in the sacral region;
- soreness in the same place;
- whitish discharge;
- violation of the ovarian-menstrual cycle – irregular menstruation, a large amount of allocated blood;
- pains during intercourse;
- constipation;
- more frequent urges to urinate.
If the curvature of the uterus is observed for a long time, the following disorders may develop as a result:
- prolapse of the uterus;
- uterine prolapse.
Infertility does not develop directly due to death, but due to the diseases that provoked it. What are the risks of uterine curvature during pregnancy? Pregnancy can end in miscarriage.
Diagnosis of the disease
The bend of the uterus is detected during a bimanual examination - during it, the degree of deviation of the uterus back and the ability to move in the small pelvis are assessed.
The following additional examination methods are used to confirm the diagnosis:
- ultrasound examination of the small pelvis;
- computed tomography;
- magnetic resonance imaging.
Treatment
If there is no clinical picture, then the treatment consists in dynamic observation, avoiding heavy physical work (especially lifting heavy loads) and special exercises that will help strengthen the ligaments of the uterus, muscles and ligaments of the small pelvis and pelvic floor.
If symptoms occur, the following measures are taken:
- treatment of diseases and pathological conditions that provoke uterine contraction;
- manual correction of the location of the uterus;
- special exercises for the treatment of uterine prolapse;
- special gynecological massage;
- wearing pessaries – devices inserted into the vagina that help the uterus to stay in the correct position.
If inflammatory and constrictive processes became the cause of the uterine collapse, then the following appointments are relevant:
- anti-inflammatory drugs;
- fibrinolytics (melt clots);
- vitamins and minerals.
Physiotherapy has proven itself very well - namely, the following methods:
- electrophoresis with anti-inflammatory drugs and vitamins;
- ultraphonophoresis;
- treatment with paraffin;
- treatment with ozokerite mud and the like.
If conservative treatment did not help, operative treatment is used - fixation of the uterus in the correct position.
Uterine curvature often disappears after pregnancy and childbirth.
On our site https://dobrobut.com/ you will find answers to the question of whether it is possible to get pregnant with the death of the uterus, which treatment to prefer and so on.
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