• Jenny Reid

How Massage Can Affect a Tilted Uterus

The uterus is an incredible organ that is located in the female pelvis between the bladder and the colon. The top of the uterus is called the fundus and the cervical opening is at the bottom. Most women don’t give their uterus much thought unless they are experiencing cramping or other pelvic pain, or if they are attempting to start a family. Sometimes, at a pelvic exam, a doctor may casually mention that your cervix is hard to find, or that your uterus is tilted. This can mean that your uterus is displaced. Uterine displacement can be caused by a number of different reasons ranging from previous abdominal surgery, endometriosis, injuries or falls, chronic constipation, aging, running on concrete, etc. There are 10 ligaments that attach the uterus to the pelvis and sacrum and if any of those ligaments become weak or contracted, it may cause uterine displacement.

Four different uterine displacements are:

  • Retroverted - The uterus is tilted posterior with the fundus of the uterus is leaning into the colon and the cervix pointing to the bladder.

  • Retroflexed - The uterus is leaning to the posterior and bent in the middle, or folded onto itself, with the fundus pressing into the colon.

  • Retrocessed - The uterus is tilted to the anterior body with the fundus of the uterus leaning on the bladder and the cervix closer to the colon.

  • Anteflexed - The uterus is leaning to the anterior and bent in the middle, or folded onto itself, with the fundus pressing into the bladder.

(Also, prolapse can be an issue, where the uterus has descended into the vagina. Prolapse can vary from mild to severe, depending on how far the uterus has descended.)

Some uncomfortable symptoms may occur from uterine displacement. For instance, if the uterus is retroverted or retroflexed, it may cause low back or sacrum pain or discomfort with bowel movements. If it is retrocessed or anteflexed it may lead to urinary issues or frequency. Another, unfortunate side effect from a displaced uterus is that it may cause problems with fertility. If the uterus isn’t in the ideal position, it may be hard for sperm to navigate through the uterus to the fallopian tubes and/or intercourse may be uncomfortable.

Massage can be an incredible tool to help realign a displaced uterus. With abdominal massage, specially trained massage therapists can manipulate the fundus of the uterus to help bring the uterus back into optimal positioning by stretching contracted ligaments. This can be life changing for someone who has suffered from painful intercourse, bladder frequency or problems conceiving. The massage is gentle but focused, with clear intention to bring circulation to the abdomen, pelvic organs and ligaments, to gently guide the uterus back home.

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