The Tipped Uterus

Many women have a "tipped" uterus, known to physicians as a retroverted uterus. It's likely normal, and not likely to produce symptoms. It is a different pelvic arrangement of ligaments and organs

than having a uterus that isn't tipped and thus different positions during sex may be more or less comfortable, menstrual cramps may produce symptoms that are more likely to be rectal, and there has been a question as to whether women with a tipped uterus are in fact less fertile (probably not unless there is a new reason the uterus is tipped). In some cases the uterus is so tipped that pelvic exams or pap smears are more difficult for the gyno to perform and more uncomfortable for the patients. Rarely a pregnant uterus that is retroverted or tipped will not be able to grow out of the pelvis properly and become entrapped, but most gynos have never even seen one of these cases. To explain this medically, in more depth, uterus sits in a position at the top of the vagina that is supported in a way that it is either tilted forward, backwards or is very much centered. The uterus that is tilted forward is termed anteverted. If tilted back it is retroverted. The uterus also has it's own axis, either bent forward at the joining point between the cervix (the mouth of the uterus) and the upper part of the uterus (the fundus is the medical term). If bent forward it is anteflexed, if bent back: retroflexed. Uterus typically are anteverted and anteflexed, and those that are tipped back are often retroverted and retroflexed. About 15% of all woman have the retroverted uterus. There is no specific link with the natural position of one's uterus and infection. However, pelvic inflammatory disease or other medical conditions can scar a previously anteverted uterus into the retroverted or tipped position. What is most important is to ask your gyno about your pelvic exam, and have her gab a bit about why that is important.

Passing Your Uterine Lining, Menstrual Period Norms

Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you...

Post-Endometrial Ablation Syndrome

If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? It is a constellation of symptoms due to entrapped blood or tissue within a uterus that has previously undergone an endometrial ablation. We are able to diagnose this at Women's Health Practic e but occasionally other conditions are causing similar symptoms. Other complications of endometrial ablation include pregnancy, risks from pre-existing conditions such as a polyp or fibroid, an infection of the uterus, or a pregnancy. If you have had a tubal ligation then it is possible that the condition could be post-ablation tubal sterilization syndrome. The ablation procedure is designed to destroy all lining tissue, but in fact there is no way to confirm the completeness of the ablation. It is thought that either residual or regrowth of the tissue is producing the symptoms of post-endometrial ablation syndrom...

You Have an IUD: But a Positive Pregnancy Test

Fortunately IUD pregnancy failures are rare. But if you have an IUD for contraception, and you get a positive pregnancy test, you probably ask yourself, what next? Well, make your gyno appointment promptly, this is a condition that is not typically an emergency, but it can be and it’s not handled over the phone or on a blog, or through self diagnosis! That being said, some researchers from University of Texas Southwestern Medical Center in Dallas decided to look back at over 4100 women who had IUDs and of those 42 cases who became pregnant in their institution, over about a year period of time, to help understand what these women could expect when they got to their gyno and what actually happened to their pregnancies. Accurate pregnancy diagnosis, pelvic examination, and pelvic ultrasound were the cornerstones of the evaluations. They had very specific ways they looked at their ultrasound to prove there was no pregnancy in the fallopian tube, or partially in the fallopian tube...

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