Uterine Displacement and its Types

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Questions and Answers

What is the typical anatomical position of the uterus in relation to the vagina and body?

  • The cervix is parallel to the long axis of the vagina, with the uterine body angled backward.
  • The cervix is at an obtuse angle to the long axis of the vagina, with the uterine body angled laterally.
  • The cervix is at a right angle to the long axis of the vagina, with the uterine body angled forward. (correct)
  • The cervix is at an acute angle to the long axis of the vagina, with the uterine body angled downward.

Which of the following symptoms is associated with a displaced uterus?

  • Increased appetite
  • Excessive energy and insomnia
  • Sharp abdominal pain
  • Leukorrhea (correct)

How do retroversion and retroflexion differ in the context of uterine displacement?

  • Retroversion is a congenital condition, while retroflexion is always caused by childbirth.
  • Retroversion involves the uterus pointing towards the bladder, while retroflexion involves the uterus pointing towards the rectum.
  • Retroversion is treated surgically, while retroflexion is treated with medication.
  • Retroversion involves the uterus pointing towards the sacrum, while retroflexion involves further backward flexion of the uterus. (correct)

Which of the following is the primary mechanism by which a pessary alleviates symptoms of a displaced uterus?

<p>By physically supporting the uterus within the vagina. (B)</p> Signup and view all the answers

In cases where conservative treatments are insufficient, what surgical intervention is utilized to correct a displaced uterus, and what is its fundamental objective?

<p>Uterine suspension, aimed at restoring the uterus to its proper anatomical location. (C)</p> Signup and view all the answers

Flashcards

Displaced Uterus

A condition where the uterus is not in its normal position, often angled too far back towards the sacrum or flexed backward.

Retroverted Uterus

Uterus aligned with the vagina, pointing towards the sacrum (tailbone).

Retroflexed Uterus

Uterus flexed even farther backward than in retroversion.

Symptoms of Displaced Uterus

Symptoms include backache, muscle strain, whitish vaginal discharge (leukorrhea), pelvic heaviness, and fatigue.

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Treatment for Displaced Uterus

Treatment involves a pessary (a supportive ring) or uterine suspension (surgical repositioning).

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Study Notes

Uterine Displacement

  • A displaced uterus typically arises congenitally but can result from childbirth.
  • Ordinarily, the uterus sits with the cervix at a right angle relative to the vagina's long axis, and the uterine body tilts forward.
  • Retroversion: The uterus aligns with the vagina, pointing towards the sacrum.
  • Retroflexion: The uterus is flexed further backward.
  • Symptoms include backache, muscle strain, leukorrhea (a whitish vaginal discharge), pelvic heaviness, and fatigue.
  • Treatment options include a pessary (a supportive ring placed in the vagina) and surgical uterine suspension to reposition the uterus.

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