Anterior Uterine Fibroid

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Uterine Leiomyoma (Fibroid ...

Retroversion and inversion of the uterus

Author: khurram akhtar

Retroversion of the uterus

The uterus normally lies at an angle to the vagina so that the fundus is directed forwards and the cervix points backwards into the posterior fornix -the position of anteversion. If the fundus is directed backwards with the cervix pointing into the anterior fornix, the uterus is said to be retroverted. If the anteverted uterus is bent forwards on itself, it is said tQ be anteflexed; similarly the retroverted uterus may be retroflexed. Retroversion is recognized on bimanual pelvic examination when the cervix is found to be directed forwards and, with the examining fingers in the posterior vaginal fornix, the body of the uterus can be felt. It is important to ascertain the precise position of the uterus before inserting an intrauterine contraceptive device or taking an endometrial biopsy, and if there is doubt a uterine sound can be passed.

In 20 per cent of normal women the uterus is retroverted. Although cases of retroversion are described as 'congenital' the retroversion in f occurs at the time of puberty. In the infant the uterus is straight upright, with the cervix and body of equal length. As the body of uterus enlarges at puberty it usually becomes anteverted and anteflex but it sometimes adopts the opposite position.

This form of retroversion is of little clinical significance. The ute mobile and can be pushed forwards into the position of anteversion pressure in the posterior fornix. If pregnancy occurs, as the uterus en! it nearly always rises up into the abdomen in the normal way at about 12th week, and after delivery it resume~ its retroverted position. If uterus is observed to be retroverted in early pregnancy, no attempt sho be made to correct the position.

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In rare instances the fundus of the retroverted gravid uterus beco impacted under the sacral promontory, and the uterus is then said to incarcerated in the pelvic cavity. The cervix is directed forwards and sligh upwards, as shown in Fig. 11.1. Because the bladder base is attached to supravaginal cervix the urethra becomes stretched and elongated, retention of urine may occur at about the 14th week. The disten bladder should not be mistaken for the pregnant uterus if the direction

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khurram akhtar

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8 Responses to Anterior Uterine Fibroid

  1. disha g says:

    i am 9 week pregnant and after ultrasound i found a uterine fibroid. what itis and can i cure it?
    is it affect my child? the fibroid is 20.8mm x 15.6mm of size in anterior wall of uterus. will it increase as my pregnancy or it will remove its own? what i should do? should complete bed rest will help? i don’t want to use medication becoz am afraid it will effect my child.plz help.

  2. Venkatapathi Raju says:

    Is it suggestible to go for hysterectomy at the age of 35 years for having 4.2 x 3.9 cm uterine wall fibroid?
    complaint: heavy bleeding due to intramural anterior uterine wall fibroid compressing adjacent endometrial echo.

  3. Maulik says:

    what is treatment of uterine fibroid?
    my mother had two intramural fibroids of 15mm.12mm and 23mm.19mm ,in body region in anterior intramural fibroid of 12mm.10mm near right cornu. she had a recurrent leucorrhoea and with itching and burning.give me advice what i should do,

    • Bec says:

      Uterine fibroids that have become a nuisance (or cause pain) can be surgically removed. Make an appointment with an OB GYN. They may refer her to a surgeon. It depends as to whether the doctor thinks its the right thing to do.

      Tell your mother to insist that they get removed. So doctor think they know whats best without considering a patients quality of life.

  4. babydollies says:

    Fibroid questions, thanks?
    Hi, I was wondering does anyone know what a anterior fundal subserosal fibroid is…where it is located? I don’t know what anteriior fundal means?

    …also please: a right uterine body intramural fibroid, an anterior uterine body subserosal fibroid, a posterior uterine body intramural fibroid, thanks!

    • the one and only says:

      I was trying for ya! :)
      When i typed it in it didn’t show me any links so i went to the one that it offered in the drop down part when you type it
      subserosal anterior fundal fibroid Leiomyoma
      If you go to this link after looking at the pics. go to the overview and it will explain everything. I could copy and paste but there is a lot of good info. you should read! Good Luck!

  5. Seafoodlover says:

    My baby is still showing a week behind. I found out I have an anterior placenta. I am so worried. Advice?
    I am 33 weeks and 2 days today. The baby is showing as 32 weeks and 4 days, so almost a week behind. When I went for my 31 week appointment he was a full week behind. Today, the doctor did an in depth ultrasound. He checked the blood flow from the umbilical cord. He said everything looked fine. He checked the baby’s breathing and said everything looked fine. The heartrate was fine as well. He ran some other tests to see if there was a growth restriction and didn’t see any indication of that. He said the results are slightly abnormal but nothing to worry about. But of course, this is my first child and I am extremely worried. I don’t want my baby to be a dwarf. I will love him regardless but everyone wants a healthy child. He said he weighs about 4.04 lbs. this week. Is this normal at this stage in the pregnancy?

    I am so worried. I know everything will be fine but a small part of me is worried. My doctor was going to send me to a specialist to do an amniocentesis at 35 weeks, but has decided against it since he’s discovered I have an anterior placenta and I believe he said it’s down low. He said they don’t like to perform an amniocentesis under those circumstances. I am having a scheduled c-section because I had a fibroid removed from my uterus earlier this year. He doesn’t want me to risk uterine rupture.

    I am also down because a lot of people, especially family, is always saying how small I look. “Oh, you’re barely showing at all!” I also know they are probably saying that because it’s taken me so long to get pregnant my baby is probably going to be premature or something is going to be wrong with him. I am 32 and this is our first child. I never thought I’d get pregnant but got pregnant within two months of having a myomectomy (fibroid removed).
    Also, I asked if there was something he could give me to relax me before the c-section. I am a serious control freak. I hate being out of control and I know I’m going to panic once I realize I can’t control the feeling in my body from the epidural. He said no. He said it will relax the baby and he doesn’t want that. So I have to stick this out.
    Jill – Yes, that’s why they wanted to do the amnio at 35 weeks. But he has said we aren’t doing that and I am so glad because I was worried.

    • Jill says:

      There is absolutely nothing to worry about. Due dates and measurements are estimates only, and babies grow at varying rates inside the womb just like they do outside. It is considered “normal” as long as your measurements are within about a 2-3 week margin in either direction, so you are well within that acceptable variance and your baby’s size / your belly size is normal.

      Why were they wanting to do an amniocentesis in the first place? To check lung maturity before the scheduled c-section? There’s really no good reason to do that anyway unless they wanted to deliver you at 35 weeks and not wait to 36 or 37 weeks (at which point lungs are most definitely mature enough anyway).

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