WOMENS-HEALTH Messages for February, 2001: Re: Doctors comments on 'Can a retroverted uterus be corrected surgically?'

Re: Doctors comments on 'Can a retroverted uterus be corrected surgically?'

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 22 Feb 2001 09:36:14 -0600 (CST)

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In reply to: Kyla: "Re: Doctors comments on 'Can a retroverted uterus be corrected surgically?'"

At Thu, 22 Feb 2001, Kyla wrote: >
>>A retroverted uterus, by itself, should not cause you pain with
>>intercourse. Approximately one-third of women have a retroverted
>>uterus. I would be concerned about something else going on in the
>>pelvis. Keep in mind that 2 out of 3 women with endometriosis have pain
>>with intercourse...
>>Lynn
>
>This is very surprising to me! I've read that having a retroverted
>uterus can cause painful intercourse because the uterus is in line with
>or close to the vagina, making it easy for the penis to bump it. Perhaps
>you are saying, though, that even if the penis does bump the uterus, it
>should not cause pain?
>
>I've often thought that I could have endometriosis, because I have alot
>of pelvic, bladder and bowel cramping. Are there any other signs of
>endometriosis that I should be aware of?
>
>Thanks!
>Kyla

Kyla, Yes, what I mean to say is that there will certainly be some impact on the uterus during intercourse with a retroverted uterus, but that impact should not be noticably painful. Endo is a tough diagnosis and only can really be made by visualizing it. Some signs include 2/3's of women with endo will have pain with their periods, typically beginning prior to the onset of their flow and often lasting beyond the menstrual flow. 1-2 out of 4 will have infertility and 2/3's will have pain with intercourse. Often a physician can get a sense of things via exam, but again, this is not diagnostic. In the mean time, you might try other positions that will tend to move a retroverted uterus forward like for instance rear-entry or "doggy style". With you on your hands and knees, the uterus will tip forward and this may make things more tolerable... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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