The normal position of the uterus is an anteverted and anteflexed position, characterized by its own curvature. Maintaining this anteverted and anteflexed position is beneficial for achieving pregnancy and does not cause lower back pain or dyspareunia, as it represents the normal position of the uterus. However, in many cases of infertility, the uterus is positioned significantly posteriorly with the cervix facing forward. Why does this position make it difficult to conceive? The reason lies in the altered position of the uterus, indicating the presence of pelvic and abdominal adhesions. The change in the uterus’s position is most commonly caused by uterine endometrial displacement, followed by sequelae of pelvic inflammatory disease (including pelvic tuberculosis). The real cause of infertility is pelvic adhesions, and the retroverted uterus is merely a surface manifestation.
Diagnosing a retroverted uterus is relatively simple and can be determined through gynecological examination, ultrasound (B-mode), or dynamic hysterosalpingography. In the case of a retroverted uterus, attention should be paid to whether there are symptoms of dyspareunia and dysmenorrhea. If these symptoms are present, there is a high suspicion of pelvic endometriosis. The gold standard for treatment is 3D laparoscopy combined with an ultrasonic scalpel. By using the ultrasonic scalpel, all adhesions are meticulously released, and then biocompatible anti-adhesive membranes are applied to prevent re-adhesion. Otherwise, if the uterus re-adheres, it will revert to its original position.
Some people believe that the repositioning of the uterus is of little significance and that forcibly separating the adhesions is ineffective as the uterus quickly returns to its original position. However, it is only through anti-adhesion treatment that we can ensure the uterus remains in the normal position, eliminate pelvic adhesions and retroverted uterus, and restore a favorable environment around the uterus for easier conception.
Beijing Antai Hospital provides signed treatment plans, and a refund is available if pregnancy does not occur within two years after the procedure. Patients often ask: Can in vitro fertilization (IVF) be performed in such cases? The success rate of IVF is very low for these situations due to severe pelvic adhesions. During egg retrieval, the retroverted uterus makes it prone to injuring the uterus and intestines. If the intestines are adhered to the back of the uterus, the normal egg retrieval procedure requires passing through the vaginal vault, which necessitates the use of an egg retrieval needle. Under normal circumstances, the egg retrieval needle can avoid the intestines automatically. However, if there is a retroverted uterus and pelvic adhesions, it becomes difficult to avoid piercing the intestines with the egg retrieval needle, resulting in complications such as peritonitis, failed egg retrieval, and pelvic or abdominal infections. Therefore, IVF is contraindicated in such cases.
Instead, the optimal approach is to choose treatment with 3D laparoscopy combined with an ultrasonic scalpel and the application of anti-adhesive membranes. This method effectively eliminates pelvic adhesions and the retroverted uterus, ensuring a higher chance of successful pregnancy.
Beijing Antai Hospital offers signed treatment plans, and a refund is provided if pregnancy does not occur within two years after the procedure. This provides patients with a reassuring option.
In conclusion, for cases of a retroverted uterus and pelvic adhesions causing infertility, the preferred treatment option is 3D laparoscopy with an ultrasonic scalpel and the use of anti-adhesive membranes. This approach successfully resolves pelvic adhesions, restores the uterus to its normal position, and creates a favorable environment for pregnancy. If you are facing such a problem, considering a signed treatment plan at Beijing Antai Hospital would be a viable option.
Overall, the treatment of a retroverted uterus and pelvic adhesions is crucial in addressing infertility issues. By opting for 3D laparoscopy with an ultrasonic scalpel and utilizing anti-adhesive membranes, adhesions can be effectively removed, and the uterus can be restored to its proper position. This approach not only increases the chances of successful conception but also improves the overall reproductive environment.
At Beijing Antai Hospital, we prioritize patient satisfaction and offer signed treatment plans. In the event that pregnancy does not occur within two years after the procedure, a refund is available. This provides patients with peace of mind and demonstrates our commitment to their well-being.
If you are experiencing infertility due to a retroverted uterus and pelvic adhesions, we encourage you to explore the option of signed treatment at Beijing Antai Hospital. Our experienced medical professionals will provide personalized care and employ advanced techniques to help you achieve your dream of starting a family.