Uterus Positioning 

Your uterus (or womb) is normally held in place inside your pelvis with various muscles, tissue, and ligaments. Because of childbirth or difficult labor and delivery, some women experience weakness in these areas. Also, as a woman ages and with a natural loss of the hormone estrogen, her uterus can drop into the vaginal canal, causing different conditions that interfere with the normal functioning of the uterus.  There is a condition called "RFU" or retroflexed uterus, in which the uterus is oriented in a backward-tilting position when compared to a normal uterus. This condition is also referred to as a tipped or retroverted uterus (RVU). In this circumstance the top of the uterus points towards the back of the pelvic region rather than tilting towards the bladder.  

Alot of OBGYN's consider these uterine positions as normal but these presentations are not healthy for the Wombman.  Malpresentation could cause big time issues. Retroflexation of the uterus can make it hard to determine the gestational age of the fetus during pregnancy and retroversion could cause or contribute to painful menstrual cramps  called dysmenorrhea or painful intercourse called dyspareunia.  

When the uterus is not in the optimal position, it can impede blood and lymph flow and cause irritation to the nerves of the sacral plexus. We require unobstructed flow of these systems to maintain optimal health. For instance, hormones are messengers carried through the blood. The blood also transports oxygen, minerals, vitamins, glucose and amino acids. When blood flow is restricted, cells don’t get fed properly and communication is impaired resulting in hormonal imbalance. Lymph is like the garbage collector and the police force of the body. Restriction in the flow of lymph allows pathological debris to accumulate, causing acidity, pain, swelling, and inflammation.

While some women with a retroflexed uterus experience no problems, others may have severe symptoms. Problems are generally more apparent when a retroverted uterus is accompanied by fibroids or endometriosis. Painful intercourse and menstruation are the most common symptoms. There may also be back pain during menstruation or intercourse. Urinary tract infections and minor incontinence might also be experienced. Other causes of a retroflexed uterus include stretching of ligaments that hold the uterus in place during pregnancy. Once stretched, the connective tissue cannot hold the uterus in its normal, forward-facing position and the tip of the uterus, the fundus, may flop backward. Pelvic inflammatory disease can also cause a tipped uterus. It may also occur as a natural variation in the position of the uterus.

Signs and symptoms:

Dyspareunia and dysmenorrhea Mobile uterine retroversion is associated with pelvic pain,  risk for intense menstrual pain.

Low back pain right before and during your period, when your uterus is heavier.

Constipation from the uterus impinging on the rectum, especially right before your period or in pregnancy.

Fertility challenges A flexed or undernourished uterus creates a difficult environment for implantation to occur.

Sciatica caused by compression of the sacral nerves.

Back Ache During Pregnancy If a woman with a RV uterus is able to get pregnant, she may suffer from low back pain and constipation until the adhesions holding the uterus to the posterior wall break free under the increasing weight of the uterus. This usually happens by 14 weeks into the pregnancy when the uterus gets heavy enough to fall forward. This varies with different women depending on how long the uterus has been tilted back.

Ovarian Cysts It has been extrapolated that a RV/RF may make it difficult for the follicle to burst through the ovarian wall resulting in an ovarian cyst.

In the condition known as a prolapsed uterus muscle weakness or relaxation may allow your uterus to sag or come completely out of your body in various stages:

  • First degree: The cervix droops into the vagina.
  • Second degree: The cervix drops to the level just inside the opening of the vagina.
  • Third degree: The cervix is outside the vagina.
  • Fourth degree: The entire uterus is outside the vagina. This condition is also called procidentia. This is caused by weakness in all of the supporting muscles.

Other conditions are usually associated with prolapsed uterus. They weaken the muscles that hold the uterus in place:

  • Cystocele: A herniation (or bulging) of the upper front vaginal wall where a part of the bladder bulges into the vagina. This may lead to urinary frequency, urgency, retention, and incontinence (loss of urine).
  • Enterocele: The herniation of the upper rear vaginal wall where a small bowel portion bulges into the vagina. Standing leads to a pulling sensation and backache that is relieved when you lie down.
  • Rectocele: The herniation of the lower rear vaginal wall where the rectum bulges into the vagina. This makes bowel movements difficult, to the point that you may need to push on the inside of your vagina to empty your bowel.

Stand the uterus up right

How do we get from sagging and weak to strong and firm?  Is it even possible after so long?

Absolutely you can renew your uterus's elasticity and vitality.  You can correct the positioning through a combination of strategies using diet, bowel cleansing, abdominal massage, and womb yoga.  

  • Your diet should include lots of fibrous vegetables and fruits specifically to cleanse the small and large intestine regularly.  This will keep the intestine from becoming constipated and putting pressure on the uterus.  
  • To aid the bowels, you must drink upwards of 64 oz of water to support good circulation and elimination.
  • Abdominal massage is vital to repositioning the uterus because it stimulates circulation and renewal of elasticity.  
  • Yoga works to help the body maintain its position by aiding the body in its overall alignment.

Watch the following videos for enlightenment.


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