Does a retroverted uterus cause pelvic pain or other symptoms?
As 20% of women have a retroverted uterus it can be considered a variation on normal. However, a retroverted uterus may be a consequence of inflammation within the pelvis, principally secondary to endometriosis or pelvic inflammatory disease. In the absence of disease, symptoms attributable to a retroverted uterus are uncommon but can include pain on intercourse. If symptoms are severe, short-term relief can be provided by a Hodge pessary, which is placed in the vagina to help tilt the uterus forward (this is seldom pursued in practice). Alternatively, laparoscopic surgery can divide adhesions or reposition the uterus in an anteverted position by shortening (placating) the round ligaments. 5. What investigations should we do in primary care before referring a patient with pelvic pain? Useful investigations include urine or endocervical swabs for the diagnosis of chlamydia infection and a vaginal culture for diagnosing other infections such as bacterial vaginosis, gonorrhoea or trichomo
As 20% of women have a retroverted uterus it can be considered a variation on normal. However, a retroverted uterus may be a consequence of inflammation within the pelvis, principally secondary to endometriosis or pelvic inflammatory disease. In the absence of disease, symptoms attributable to a retroverted uterus are uncommon but can include pain on intercourse. If symptoms are severe, short-term relief can be provided by a Hodge pessary, which is placed in the vagina to help tilt the uterus forward (this is seldom pursued in practice). Alternatively, laparoscopic surgery can divide adhesions or reposition the uterus in an anteverted position by shortening (placating) the round ligaments. 5. What investigations should we do in primary care before referring a patient with pelvic pain? Useful investigations include urine or endocervical swabs for the diagnosis of chlamydia infection and a vaginal culture for diagnosing other infections such as bacterial vaginosis, gonorrhoea or trichomo
