Retro-Anteverted Uterus and Asherman's

[Guest guest]

I think it is an excellent idea that we have this poll on retro or

anteverted uteruses! (Is that the correct plural for uterus or is it

uteri?)

And I would not be surprised to find there is a connection, here's

why. If the uterus is in anything but an absolutely " normal "

position, it would seem to me to make a D & C a more difficult

procedure. I'm trying to think of a good visual.....let's think of it

as vacuuming. (I'm sorry, I know that's not such a good comparison,

but I think it kind of works)

Let's say you are, for some inexplicable reason, trying to vacuum out

the center of a cantelope. If the cantelop is positioned in an

upright position in a " parallel plane " to your body, you should be

able, with relative ease, to insert the vacuum and suck out the pulpy

interior.

Now, instead, picture that the cantelope you are trying to " clean

out " is tilted either towards you or away from you. The " tilt " is

going to make it harder to remove pulp from some areas of the

cantelope and harder to " manuever " the vacuum nozzle itself with a

steady hand.

This is what I expect happens with a retro or anteverted uterus. The

uterus is not in the " optimal " position the doctor doing the D & C is

operating with the deficit of trying to " reach " a uterus that is no

longer " in plane " with the body but instead at an angle. This would

seem to me to make the performance of a D & C more difficult and would

seem to increase the likelihood that the doctor will apply either too

much or too little pressure while straining to " reach " the oddly

positioned uterus thus resulting in either too much removal, or not

enough which often leads to a second or even third D & C, each one

increasing the chances of Asherman's. It would obviously also

increase the chances of puncture for the same reason.

SO, if there does prove to be a connection I think it would have more

to do with the skill of the doctor performing the D & C in an " odd "

plane than with anything else.

What do you all think?

Gwen