Displacement of the uterus refers to a deviation from the normal anatomical position of the uterus within the pelvic cavity. It can be congenital or acquired due to factors such as pregnancy, pelvic tumors, or surgery.
Types of Uterine Displacements
1. Anteversion and Anteflexion
- Normal position where the uterus tilts forward over the bladder.
- Excessive anteflexion may cause dysmenorrhea or infertility.
2. Retroversion and Retroflexion
- Retroversion: Uterus tilts backward towards the rectum.
- Retroflexion: Uterus bends backward at the isthmus.
- Causes:
- Congenital – Weak uterine supports.
- Acquired – Pelvic inflammation, tumors, post-pregnancy laxity.
- Symptoms:
- Low backache
- Dyspareunia (painful intercourse)
- Menstrual irregularities
- Constipation due to rectal pressure.
- Diagnosis:
- Bimanual examination
- Ultrasound (USG)
- Treatment:
- Pelvic floor exercises
- Pessary insertion
- Surgical correction (ventrosuspension, hysteropexy)
3. Prolapse (Descent of the Uterus)
- Mild (First Degree): Uterus descends but remains within the vaginal canal.
- Moderate (Second Degree): Uterus reaches the vaginal introitus.
- Severe (Third Degree / Procidentia): Uterus protrudes outside the vaginal opening.
- Causes:
- Weak pelvic floor muscles
- Multiple vaginal deliveries
- Chronic cough or constipation
- Symptoms:
- Sensation of something coming down
- Urinary incontinence or retention
- Constipation
- Treatment:
- Pelvic floor exercises (Kegels)
- Pessary insertion
- Surgical repair (Manchester operation, hysterectomy in severe cases)
4. Lateral Displacement
- Uterus deviates to one side due to adhesions or tumors.
- Symptoms:
- Pelvic pain
- Dyspareunia
- Treatment:
- Removal of adhesions or tumor
Diagnosis of Uterine Displacement
- Pelvic Examination – Determines position of the uterus.
- Ultrasound (USG) – Confirms displacement.
- MRI (if needed) – Identifies fibroids, adhesions.
Treatment & Management
- Conservative Management
- Pelvic exercises – Strengthen supporting muscles.
- Use of a Pessary – Helps reposition the uterus.
- Surgical Correction (if necessary)
- Hysteropexy – Uterus is repositioned and fixed.
- Hysterectomy – If severe and symptomatic.
Keynote Symptoms of Uterine Displacement
- Pelvic heaviness and dragging pain in the lower abdomen
- Frequent urge to urinate due to bladder pressure
- Backache, especially in the lumbar and sacral region
- Difficulty in walking or standing for long periods
- Worsening of symptoms during menstruation or after exertion
1. Sepia
Indications:
- Uterine prolapse with a strong bearing-down sensation
- Pain and heaviness in the pelvis, feeling as if everything would fall out
Keynote Symptoms:
- Feels better by crossing legs or sitting with legs together.
- Aversion to family and household duties.
- Chronic vaginal discharge with weakness.
- Worse from standing for long hours.
- Better with vigorous exercise.
2. Lilium Tigrinum
Indications:
- Uterus feels too heavy and causes dragging pain
- Strong urge to hold the abdomen due to prolapse sensation
Keynote Symptoms:
- Sensation as if the uterus is pressing down.
- Frequent urination with pelvic pressure.
- Mood swings, restlessness, and nervousness.
- Worse from excitement, walking, or standing.
- Better from lying down or pressure.
3. Murex Purpurea
Indications:
- Uterine displacement with sharp, shooting pains in the pelvis
- Strong sexual desire with uterine tenderness
Keynote Symptoms:
- Pain extending to the rectum and thighs.
- Uterus feels enlarged and sensitive.
- Menstrual irregularities with excessive sexual thoughts.
- Better with hard pressure on the abdomen.
- Worse before and during menstruation.
4. Helonias Dioica
Indications:
- Prolapse of the uterus due to excessive exertion or weakness
- Fatigue, exhaustion, and pelvic weakness
Keynote Symptoms:
- Sensation of dragging in the pelvis.
- Constant need to support the abdomen with hands.
- Uterus feels sore and tender.
- Worse from prolonged standing.
- Better with rest and lying down.
5. Calcarea Carbonica
Indications:
- Weak pelvic muscles leading to uterine displacement
- Heaviness and pressure in the lower abdomen
Keynote Symptoms:
- Profuse sweating, especially on the head.
- Overweight individuals with sluggish metabolism.
- Cold, clammy feet and extreme fatigue.
- Sensation of fullness and pressure in the pelvis.
- Worse from exertion, cold weather, and standing for long hours.
