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The jury is still out, way out, on whether retroversion and retroflexion cause difficulties with achieving, and maintaining, pregnancy.Anatomically and physiologically speaking, it makes sense, but is not borne out in the research.These terms refer to the position of the uterus in the pelvis.The uterus is held in place by four muscle-like fibers called ligaments, specifically two round ligaments, one on each side, as well as the vesico-uterine ligament in the front and the sacro-uterine ligament in the back.Note: Most commonly, the cervix is found toward the end of the vagina and then a little bit on the anterior wall.So, for those with retro uteruses, if you are checking inside yourself, or your partner is checking inside of you, or a provider is checking, the cervix might be just inside the vaginal opening (introitus) on the anterior wall, or might have to really go looking for it along the anterior wall of the vagina.The uterus changes its orientation in the body with any changes in or around itself. Depending on number of pregnancies/babies, gynecological history, body structure, menses, or physical health, uterine position may change. The most common uterine positions are a jumble of prefixes and suffixes.
Instead, it becomes trapped under the sacral promontory and causes severe pain and difficulty with normal uterine stretching.A provider, for any number of reasons, may do an internal exam to assess health of the cervix, uterus and ovaries.This is called a bimanual exam (which I have written about here).Anteversion – uterus and cervical axis oriented toward the pubic bone Anteflexion – uterus oriented toward the pubic bone, with the anterior portion of uterus concave Anteversion and anteflexion – a combination of the above Retroversion -uterus and cervical axis oriented toward the sacrum Retroflexion – uterus oriented toward the sacrum, with the anterior portion of uterus convex Retroversion and retroflexion – a combination of the above Then, the outliers (in the lingo, not necessarily by commonality of position itself): Retrocessed – top and bottom of uterus are pushed toward the sacrum Midposition/Vertical – uterus points straight upward toward the diaphragm Here are some good pictures that illustrate all of this complicated language. With severe retroversion or retroflexion, the uterus is pulled to the back of the body to the point that the cervix is pulled onto the anterior (top) wall of the vagina.For the opposite (and less symptomatic) position of severe anteversion or anteversion, the uterus would be found more on the posterior (bottom) wall.