Which is true regarding retroveed uterus :
Correct Answer: All
Description: Ans. is a, b and c i.e. Associated with endometriosis; It is a cause of infeility; Causes menorrhagia; and Associated with PID The usual position of the uterus is one of anteversion and anteflexion, in which the body of the uterus is bent forward at its junction with cervix. Retroversion is a condition in which axis of cervix is directed upward and backward (instead of forward). Causes Seen in 20% of patients Mobile retroversion Fixed retroversion Retroversion can never be * Prolapse * PID congenital (it is always developmental) * Puerperium * Pelvic tumors malformation as the uterus is without * Fibroid * Chocolate cyst of ovary version and flexion at bih. * Ovarian cyst * Pelvic endometriosis (pushes uterus backward) Symptoms : Mobile retroversion is usually symptomless, main disadvantage being increased risk of perforation of the uterus at the time of instrumentation. Symptoms which can be seen are : Spasmodic dysmenorrheadeg Pelvic congestion syndrome causing : - Congestive dysmenorrhea - Polymenorrhagia - Premenstrual low backache - Dyspareunia (it is the most specific and genuine complain in case of retroversion) - Leucorrhoea Infeility as cervix is directed forward away from the seminal pool and the ejaculation of semen directly into the external os. Aboion : can cause aboion between 10th to 14th week. Treatment : If retroversion is mobile no treatment is required. In patient complaining of dyspareunia backache with retroveed uterus Hodge pessary may be used to keep uterus in anteveed position. Surgical management : - Modified Gilliams operation - Plication of round ligamentdeg - Baldy webster open9tiondeg
Category:
Gynaecology & Obstetrics
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