Uterus

Retroverted uterus

A retroverted uterus is a common condition found in 11% of the female population. If this condition is secondary to chronic PID or endometriosis, it can be associated with infertility. It is also related to dyspareunia, low back pain, and dysmenorrhea. If it is not spontaneously corrected during pregnancy before the second trimester, it can lead to uterus incarceration and be life-threatening. It is not an etiologic cause of abortion.

Uterine Prolapse

Uterovaginal prolapse (UVP)

Typical h/o - a multiparous, postmenopausal woman with a h/o of multiple vaginal deliveries

The injury to the pelvic ligaments and loss of estrogen weakens the endopelvic fascia

most responsible ligament - uterosacral ligament

All symptomatic patients (constant sensation of heaviness, pain, or bleeding) should have surgical correction of the defect of pelvic support.

Congenital Uterine Anomalies

Arcuate Uterus

Bicornate

Diadelphys

Uterine Fibroids

Fibroids are benign smooth muscle tumours of the uterus. They are thought to occur in around 20% of white and around 50% of black women in the later reproductive years.

Associations