Retroversion is when the long axes of the uterus and cervix are in line but turned backwards in relation to the birth canal. It often occurs with retroflexion, where the corpus of the uterus bends backwards onto the cervix at the internal os. Retroversion affects 15-20% of women and can be first, second, or third degree depending on how far back the fundus is positioned. It may be mobile or fixed, and can be caused developmentally or acquired through conditions like subinvolution or prolapse. Symptoms may include low back pain, dyspareunia and dysmenorrhea. Diagnosis involves tests like pessary, bimanual examination, and rectal examination.

3. DEFINITION
Long axes of corpus and cervix are in line and
the whole organs turns backward in relation to
the long axis of birth canal is called
Retroversion

4. RETROFLEXION
• Bending backward of the corpus on the cervix
at the level of internal os
• The two conditions are usually present
together and are loosely called Retroversion
or Retro Displacement

6. INCIDENCE
15 – 20%

7. DEGREES
FIRST
DEGREE
SECOND
DEGREE
THIRD
DEGREE

8. DEGREES
• First degree – The fundus is vertical and
pointing towards the sacral promontory
• Second degree – The fundus lies in the sacral
hollow but not below the internal os
• Third degree – The fundus lies below the level
of internal os

9. TYPES
MOBILE
FIXED

10. CAUSES
DEVELOPMENTAL ACQUIRED

11. ACQUIRED
• Subinvolution
• Prolapse
• Tumors
• Pelvic adhesion

12. CLINICAL FEATURES
• Asymptamatic
• Pain
Low back ache due to pressure
Dyspareunia
Spasmodic dysmenorrhoea
• Infertility

13. DIAGNOSTIC EVALUATION
Pessary test
Bimanual
examination
Speculum
examination
Rectal examination

14. PESSARY TEST
Hodge smith pessary placed inside for 5
months after correcting the uterine position to
anteversion. If the symptoms are revealed
during this period and recur back after its
removal

15. BIMANUAL EXAMINATION
• Cervix directed upwards and forwards
• Body of uterus felt through posterior fornix

16. MANAGEMENT
• No treatment if no symptoms
• Fixed – Treat the cause
• Mobile – Palliative – Pessary Hodge smith
pessary for 14 wks
• Operative – Laprotomy Or Laproscopy