Uterus Abnormalities

Apparently, not all women have a uterus, lo. On the other hand, some even have two wombs. How did this happen? What also other uterine abnormalities?

Often a lot of complaints arising in connection with the uterus. For example, why, menstruation did not come; anyway, pain during intercourse; really, there lots of bleeding during and outside the menstrual period; and various other complaints. Actually, what the hell is with the uterus?

As we know, the uterus is useful for the process of reproduction, both in the menstrual cycle, pregnancy, and childbirth. "In the circumstances do not pregnant, the uterus is located in the small pelvic cavity between the bladder and rectum. Like a pear shape is expected," said Augustine Gatot, MD. When pregnancy occurs, the uterus as a place to accommodate the products of conception or the meeting of sperm and ovum. "Just as incubators that make the fetus be great," he continued.

Billy explained further, the uterus is a muscular structure that is actually quite strong. The uterus consists of three parts, namely the corpus uteri (uterine body) is triangular, cervix uteri (cervix) is cylindrical, and the uterine cavity (uterine cavity). "During pregnancy, the body part that became the main venue uterus fetus to grow and develop."

The magnitude of the uterus on each woman is different, depending on age and often the very least give birth. Moreover, not all women have a normal uterus. "Overall, abnormalities of the uterus there is a form of congenital abnormalities, abnormalities of the location of the uterus, as well as benign and malignant tumors," explained the doctor from the Hospital Harapan Kita Jakarta.

Congenital DISORDERS
Also called congenital anomalies or congenital abnormalities at birth, due to the process that occurs when the fetus is still in the womb. "So, the formation of the uterus derived from the duct Mullery lasted imperfect formation of the uterus so that there was interference," said Billy.

But Mom, do not panic because the disorder is not dangerous, so no need to act like the removal of the uterus and everything. However, inevitably shape her womb surgically repaired. If not, can cause infertility problems, in addition may interfere with pregnancy and childbirth occur such as miscarriage or premature birth.

Unfortunately, this is rather difficult to detect abnormalities at an early stage because it has been there since birth. Can only be suspected or known if there are menstrual disorders, menstruation does not appear, had long been childless, premarital examinations, or by antenatal ultrasound examination.

The category of disorders that include, among others:

* There was no uterus.

"It should be every woman has a uterus," said Billy. But in reality, there are also women who have no uterus. This happens because the uterus does not grow (agenesis), but there may also be caused by chromosomal abnormalities.

One characteristic of women who do not have a uterus is not having periods. But that does not mean women are not menstruating would not have a uterus, lo. "It could have happened because he did not have a hole intercourse or any female hormonal disorders," said Billy.

Of course, women who had no uterus so not having periods and subsequently can not have kids. Unfortunately, no action can be done to fix it. To be sure, this type of disorder will not endanger the woman's life because of its effect on the body are also not so apparent.

* The uterus is small or not growing.

Abnormalities of the uterus of this type lies in its small size, less than 5 cm. Usually caused by hormonal disorders, namely the lack of female hormones. "So, not her ovaries produce female hormones like estrogen and progesterone, so that the uterus so it does not develop," explained Billy.

These abnormalities usually encountered during pubert, but only be known after the examination. The symptoms are almost the same as the symptoms do not have a uterus, which does not appear menstruation. Or, "can also experience menstruation, but very little. For example, only a day and just spots."

Treatment is administration of hormonal therapy to the uterus can be enlarged to normal size about 7 inches and will grow to be a fetus in the process of pregnancy. Obviously, if no treatment, the woman is difficult to conceive.

* Having two wombs.

In this type of abnormality of a woman's womb has two separate bodies to each other, two cervix and two vaginal canal or hole intercourse. This disorder occurs because the process of unification of her womb is not perfect. However, symptoms or complaints is not known, except if the woman is married. "She and her partner will experience a disruption in penetration when engaging in vaginal intercourse because there bulkhead separators in the womb," said Billy. When the bulkhead is not removed there will be infertility.

Nevertheless, it is still possible to get pregnant, "depending on the channels where the entry of sperm and the womb that will serve as a fetus, the uterus while the other will remain vacant." In this disorder, nidasi process (attachment of the meeting of sperm and egg in the uterus) is not interrupted when endometriumnya normal circumstances.

If pregnancy occurs in one womb, the birth process can be run as usual. "But, even then hung from a large baby and if no other indications such as fetal distress, parturition was advanced, and so on. If any such indication seksiosesaria then do the action," explained Billy.

How to cope with these disorders by repairing sekatnya surgically, using equipment hysteroscopy. After surgery, the uterus will usually function normally. However, said Billy, complications may occur during operation, ie no breakdown of uterine perforation or during surgery. "But when the surgery is an experienced physician, such complications are rare."

With two other uterine abnormalities is bokornis bikolis uterus or womb state with two cervix and two but one hole intercourse. Thus, this disorder will not interfere with the process nidasi and labor.

* Heart-shaped uterus.

Uterus was there, lo, a heart-shaped, ie when there is a cavity of the uterus and there is a prominent part in the uterus so that disrupt the process nidasi products of conception. Thus, the woman in question will be difficult pregnancy and also disrupting the delivery process. To overcome this, a prominent part in surgery. Abnormalities of the uterus is rarely encountered and sometimes difficult to detect.

* Uterus sectional.

The disorder is called uterine subsepta and bersepta, the state of the uterus in which there is a separator. This disorder can disturb the process nidasi so that corrective action needs to be done surgically.

* Uterus horns.

In this disorder, the uterus has two horns of the uterus is also called bikornis unikolis. The uterus has a cervix and a hole intercourse. This disorder can cause interference nidasi process, so it needs to be corrected.

Well, bright Gatot, on each of the above uterine abnormalities, symptoms are not specific and sometimes even complained of no symptoms at all.

DISORDERS lies the UTERUS
Position or location of the uterus in women, explained Billy, actually not always the same. "This position also has an innate and could not be changed." The location of the normal uterine cavity in the middle of the pelvis and the top of the uterus leading to the front. So, if no such direction is said to be the location of abnormalities. But not all of these abnormalities may cause a complaint or a disease or infertility.

Typically, this disorder is caused there is a push by the tumor mass, adhesions, or weak connective tissue and muscles supporting the uterus. Thus, the uterus will be pushed to the right or left by the presence of adhesions or masses in the opposite impulse.

These abnormalities usually do not cause symptoms, although some complained of aches and pains when doing certain movements. "This can occur when there is strain on the glue in the uterine tissue. Infertility can also occur when adhesions cause the blockage of the fallopian tubes."

Abnormalities associated with the location of the uterus include:

* Hyperretrofleksi (where the uterus to the back).

The reason is the encouragement, mobilization of the uterus is unstable, or no adhesions. If for attachment, then it is usually more due to the infection. "The disorder is more common in mothers who already had many children, or often give birth so that all tissue binding it to be soft and loose," said Billy.

Complaints are often color this disorder is difficult to urinate and defecate frequently when the pain / ache. This is due to the mouth of the uterus pressing the urinary tract. In addition, at the time of copulation was going to hurt.

Obviously, in this disorder will be encountered obstacles, especially in meeting the sperm and egg cells. "Sperm is difficult entry into the uterine cavity, causing infertility or difficulty conceiving." That is why, explained Billy, to the couple concerned are encouraged to do intercourse with the way the knee-chest position  or post-coital (after the husband-wife relationship).

If pregnancy occurs over the first trimester, the uterus will be to the normal position, ie out of the pelvis and will be up because the baby is getting bigger so it can not live in the pelvis. Of course, pregnancy occurs when there is no attachment. So, if there are adhesions of the uterus, the woman can not become pregnant because of barriers in the meeting of sperm and egg cells. Therefore, action must be done laparoscopically, which is releasing pelekatannya by surgery.

* Stomach hanging.

Actually, the light of Billy, the location of the growing uterus forward or like hanging is normal, not abnormal because the uterus is forward. But because the connective tissue abdominal muscles are loose and could not stop so when pregnant tend to be more forward. That's why so often found in the uterus of mothers who already have large families.

But Mom, do not worry because this is not a problem. Only recommended wearing an octopus, a corset or abdominal belt rather tight and taut to support the belly from below.

To note, the uterus forward, parturition will be longer and the contractions are less good that needs to be accelerated, the addition of reinforcing agents contraction. "Need-to-least seksiosesaria action, depending on size of baby and can least through the pelvis," explained Billy.

* Uterine prolapse (uterus protruding out or in the vagina).

This disorder occurs because of weakness of connective tissue in the pelvic area, especially the transverse connective tissue. For others, relief of unskilled labor that occurs at the opening meneran not yet complete, there was the birth injury can cause weakness of the connective tissue supporting the vagina, as well as the many young mothers so that the connective tissue beneath the pelvis loose. Menopause can also cause a decline in the uterus because estrogen production is reduced so that the elasticity of the connective tissue is reduced and smaller pelvic muscles that cause weakening of support in the womb.

The symptoms are very individual. Complaints that often occurs among others, the feeling there is a lump or protruding objects in front of the vagina so it is very annoying when walking or working. Sometimes injuries occur in the uterus that stands out is due to friction or other briefs are occupied and the wound can cause infection. Other symptoms, vaginal discharge often arise because of the injury or due to blockages of blood vessels in the cervical area, and there were complaints of pain and soreness in the waist. Complaints of pain will go away when the woman was lying.

"Usually, uterine prolapse rarely occur alone, but accompanied by a drop in the front of the vagina is called vaginal cystocele and rear-called retokel," explained Billy. Cystocele frequent urination symptoms that a little and often. Bladder felt full and hard emptied entirely, unable to hold urine when coughing or straining, sometimes there is difficulty urinating so enlarged bladder. While rektokel often causes bowel disorders due to gather in the living retokel feces.

To diagnose this type of cervical abnormality be done in a way the patient is asked squat while pushing so it will look a lump in front of the vagina. But actually, this disorder can be prevented, by the time performed an episiotomy and delivery or childbirth assistance, such as by forceps or vacuum delivery so that any time soon.

While treatment with muscle exercises or pelvic floor surgery to strengthen the pelvic floor muscles, so do not come out again.

"So, the uterus is raised up and fastened with a network of muscles in the upper abdomen. The network's sagging muscles shortened and be born into the uterus so the uterus does not go down again." Another way is to be taken from the vagina through the uterus removal operation. The consequences certainly could not have children anymore. Another case when surgery is performed strengthening the uterus, the possibility still remained childless.

* Inversio uterus (womb upside down).

This is due to give birth when the cord is pulled while the contraction so that the uterus has not flipped. Symptoms are caused after delivery is very worrying. Patients to be a shock, severe pain, and bleeding. These events can cause the patient died due to lack of blood.

Handling with the repositioning done immediately. So, when it is inserted again with anesthesia or general anesthesia so that the return to normal, and then given boosters contraction in order to survive in the abdominal cavity. "When the repositioning was done immediately and no severe symptoms will occur inversio cause chronic.," Said Billy as he continued, "When too late, then the complication is bleeding a lot so that required surgery and removal of the uterus."

Prevention by delivery assistance, wait until the uterus to contract, and prevent uterine contractions become anemic, so good. So, Mom, when experiencing a lot of complaints relating to the uterus, immediately consult a doctor to be addressed immediately.