Posts Tagged ‘pelvic pain’

Does a retroverted (tipped) uterus pose pregnancy risks?

Tuesday, August 3rd, 2010

Almost never. About 20 percent of women have a uterus that tips slightly backward. This is considered a normal variant of uterine positioning in most women.  It’s possible that some women may develop a retroverted uterus due to fibroids or scar tissue in the pelvis. Generally, the uterus straightens by early in the second trimester and does not contribute to pregnancy complications.

At about 12 weeks of pregnancy, the top of the uterus normally extends past the pelvic cavity. Rarely, a retroverted uterus may become trapped in the pelvis. This is called uterine incarceration and can cause pain and difficulty passing urine. An ultrasound can diagnose retroverted uterus in women with these symptoms. Simple treatments, including bladder drainage, positioning exercises the woman can do at home, or gentle manipulation by the health care provider, usually can restore the uterus to its normal position. Occasionally, an untreated incarcerated uterus may contribute to second-trimester miscarriage.

Functional ovarian cysts

Tuesday, February 16th, 2010

Ovarian cysts are fluid-filled sacs that form on or in the ovaries.  The most common type of ovarian cyst is a functional cyst.  Unfortunately, they cannot be prevented, but they usually go away on their own over time and are not cancerous.  Functional cysts usually form during normal menstruation and can be of two types: follicle cysts or corpus luteum cysts.

During a normal menstrual cycle, a follicle sac breaks open and releases an egg that travels down the fallopian tube to the uterus. The remains of the broken sac dissolve.  Follicle cysts occur when the sac doesn’t rupture to release an egg but continues to grow.   They usually disappear after a month or two.  Corpus luteum cysts occur after the egg is released if the sac doesn’t dissolve.  The sac closes and fluid builds up.  They usually go away within a few weeks, but sometimes they can swell up to 4 inches in size and cause pain and bleeding.  Functional cysts occur during a normal menstrual cycle and do not cause infertility.

While functional ovarian cysts usually have no symptoms, occasionally they can, so let your health care provider know if you experience any of the following:
• Pain during sex
• Pressure, bloating, swelling or pain in the abdomen
• Dull ache in the lower back or thighs
• Pelvic pain
• Abnormal bleeding

Functional ovarian cysts usually do not need treatment.  Sometimes birth control pills are used to regulate a woman’s cycles and decrease the development of functional cysts.  Complex cysts that do not go away usually are surgically removed.

There are other types of ovarian cysts (endometriomas, dermoid cysts, cystadenomas or polycystic ovarian cysts).  Functional ovarian cysts are not the same as ovarian tumors (including ovarian cancer) or cysts due to hormone-related conditions such as polycystic ovary disease.