What is Dextrorotation of the uterus?

What is Dextrorotation of the uterus?

INTRODUCTION. Dextrorotation of the gravid uterus is a common physiological finding. Rotation of the uterus beyond 45o is pathological uterine torsion and is extremely rare in pregnancy. It is considered as a “once in a lifetime diagnosis” for most obstetricians. 1 It is only sporadically reported in medical literature …

Why is the uterus Dextrorotated?

The uterus is dextrorotated in two-thirds of the cases, likely because of its physiologic rightward shift during pregnancy. The degree of the torsion in our cases was 180°, and the side was dextrose also. Symptoms of uterine torsion vary depending on the degree and duration of torsion.

What is torsion of the uterus?

Torsion of the pregnant uterus is defined as rotation more than 45 degrees around the long axis of the uterus. Uterine torsion is observed in all age groups of the reproductive period, in all parity groups, and at all stages of pregnancy. Torsion from 60 degrees to 720 degrees has been described.

What is a Couvelaire uterus?

Couvelaire uterus is caused when haemorrhage from placental blood vessels seeps into decidua basalis causing placental separation, followed by infiltration in the lateral portions of the uterus. 3. Occasionally, the infiltrations reach the peritoneal cavity. Couvelaire uterus is managed conservatively.

Can a retroverted uterus be corrected?

In most cases, a retroverted uterus won’t cause any problems during pregnancy. Treatment options include exercises, a pessary or surgery.

Can a retroverted uterus cause bladder problems?

A retroverted uterus may create more pressure on your bladder during the first trimester. That may cause either increased incontinence or difficulty urinating. It can also cause back pain for some women.

What causes malposition of uterus?

Retroversion of the uterus is common. Approximately 1 in 5 women has this condition. The problem may also occur due to weakening of the pelvic ligaments at the time of menopause. Scar tissue or adhesions in the pelvis can also hold the uterus in a retroverted position.

What causes uterine torsion?

Torsion of the uterus is defined as rotation of more than 450 around the longitudinal axis of the uterus (Collinet et al., 2001). The torsion is usually caused by the presence of pathological or abnormal conditions in the uterus or adjacent structures. Torsion of the uterus is most often seen in pregnant women.

What are symptoms of ovarian torsion?

The symptoms of a twisted ovary arise suddenly and intensely. They include severe pain in the pelvic region, as well as nausea and vomiting. The sudden pain is often preceded by occasional cramps for several days, or sometimes, for weeks (often because the ovary twists and untwists repeatedly).

How is Couvelaire of the uterus treated?

Treatment. The uterus should be evacuated and contractions should be stimulated using intravenous oxytocin; hysterectomy (the removal of the uterus) may be needed in some cases.

How is Couvelaire uterus diagnosed?

Alexandre Couvelaire, a French obstetrician in 1912, Couvelaire uterus is typically associ- ated with abruptio placentae, the premature separation of the placenta, enabling blood to penetrate the myometrium and parametrium. 2 Diagnosis is made by direct visualization dur- ing cesarean section or biopsy.

How can I fix my tilted uterus naturally?

Exercises

1. Knee-to-chest stretches. Lie on your back with both knees bent and your feet on the floor. Slowly raise one knee at a time up to your chest, gently pulling it with both hands.
2. Pelvic contractions. These exercises work to strengthen the pelvic floor muscles.

When does uterine fibroid degeneration occur what happens?

Uterine fibroid degeneration occurs when a fibroid outgrows its limited blood supply. When the connecting blood vessels cannot provide enough oxygen to a fibroid, its cells begin to die, or degenerate. When a fibroid degenerates, it shrinks back to a smaller size that its blood supply can support. Though fibroid…

Where are the fibroids located in the uterus?

Uterine fibroids are benign tumors that grow inside or on the uterus. Fibroids are composed of the same muscle as the uterus and are connected to the uterine artery by blood vessels.

Are there any noninvasive treatments for uterine fibroids?

A noninvasive treatment option for uterine fibroids that preserves your uterus, requires no incision and is done on an outpatient basis. Performed while you’re inside an MRI scanner equipped with a high-energy ultrasound transducer for treatment. The images give your doctor the precise location of the uterine fibroids.

How is endometrial ablation used to treat uterine fibroids?

Endometrial ablation. This treatment, performed with a specialized instrument inserted into your uterus, uses heat, microwave energy, hot water or electric current to destroy the lining of your uterus, either ending menstruation or reducing your menstrual flow. Typically, endometrial ablation is effective in stopping abnormal bleeding.