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Uterine Displacement
MS AGNES MAHIMA DAVID
Msc lecture
Definition
• The uterus when displaced backward is term
as retroverted uterus and when it is displaced
downward is know as uterine prolapse
Causes
• Repeated pregnancy at closer intervals
• Lifting heavy objects during an early postnatal period
• women pursuing career in sports and dances or who
do heavy exercises
• During child birth when the woman has laceration
• Habitual constipation
• Constant or habitual distension of bladder
• Tumors (pelvic or abdomen )
• Injury to sacrum
• After difficult labor
Symptom of retroversion
• Feeling of tiredness
• Backache
• Painful menstruation
• Constipation
• Frequency of micturition
• Abortion or miscarriage
Sign
• Cervix is displaced
• Fundus in dougl’s pouch
• Absent of the uterus interiorly
Investigation
• PV Examination -----fied or mobile uterus
• Hystrography---- position of the uterus
• Double pessary test
Treatment
 Non surgical methods
Use of pessary
Exercises
 Surgical methods
Hysterectomy
 uterine suspension
Uterine Displacement

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Uterine Displacement

  • 1. Uterine Displacement MS AGNES MAHIMA DAVID Msc lecture
  • 2. Definition • The uterus when displaced backward is term as retroverted uterus and when it is displaced downward is know as uterine prolapse
  • 3.
  • 4. Causes • Repeated pregnancy at closer intervals • Lifting heavy objects during an early postnatal period • women pursuing career in sports and dances or who do heavy exercises • During child birth when the woman has laceration • Habitual constipation • Constant or habitual distension of bladder • Tumors (pelvic or abdomen ) • Injury to sacrum • After difficult labor
  • 5. Symptom of retroversion • Feeling of tiredness • Backache • Painful menstruation • Constipation • Frequency of micturition • Abortion or miscarriage
  • 6. Sign • Cervix is displaced • Fundus in dougl’s pouch • Absent of the uterus interiorly
  • 7. Investigation • PV Examination -----fied or mobile uterus • Hystrography---- position of the uterus • Double pessary test
  • 8.
  • 9. Treatment  Non surgical methods Use of pessary Exercises  Surgical methods Hysterectomy  uterine suspension