Posterior tilt of the uterus compressing the rectum may be caused by congenital malformation, pelvic inflammatory disease, endometriosis, etc. It can be handled by medication, surgery, and change of body position to alleviate its compression on the rectum.
1. Congenital deformity: for patients with congenital uterine tilt can be used to flex the knees and chest position, using gravity to help the uterus reset. The specific posture is: using the knee and elbow joints to support the plane, chest low, buttocks high. In severe cases, the round ligament of the uterus and the sacral ligament can be shortened surgically to pull the uterus so that it cannot be tilted back.
2. Pelvic inflammatory disease: adhesions caused by pelvic inflammatory disease may lead to posterior tilt of the uterus. It can be treated with antibacterial drugs such as cefoxitin sodium, cefuroxime, gentamicin, etc. The symptoms of retroverted uterus can be relieved after the inflammation is effectively controlled.
3. Endometriosis: this disease may occur pelvic adhesions, ligament changes, resulting in uterine tilt. Progesterone such as medroxyprogesterone, medroxyprogesterone and norethindrone can be used to inhibit ovarian function, slow down the progression of the disease and improve the uterine tilt.
Uterine tilt compression of the rectum may also be caused by other reasons, such as abortion surgery, it is recommended that the patient consult a doctor in a timely manner, complete the relevant examinations, and under the guidance of the doctor to clarify the cause of uterine tilt, and then carry out targeted treatment. The use of the above medications should be in accordance with medical advice.