One of the most constant symptoms is pain in the back, and this is
severe in proportion to the swelling and sensitiveness of the organ,
when it presses on the sacral nerves and rectum.
As a result of the flexion, the circulation in the organ is interfered
with, so that the congested uterus feels heavy, and there is a
sensation of fullness and bearing down, that greatly hinders walking.
Uterine catarrh and hyperæmia place the organ in such an irritable
state that prolonged and excessive menstruation is the rule. This may
last for fourteen days, so that the patients become anæmic and greatly
debilitated from the excessive loss of blood. The menstruation is
always more painful, especially at the beginning of the flow; this
pain may be interrupted or spasmodic, so that it assumes the form of a
uterine colic; the lower abdominal region becomes painful and the pain
radiates towards the groins. The degree of suffering is very seldom as
great as that which characterizes anteflexion, because the obstruction
in the latter flexions are much greater than in retroflexions.
Those women who have borne children suffer less pain during
menstruation than those who have never been pregnant. It may be
presumed that, in the latter class, the flexion was congenital
or acquired in early childhood, which makes the obstruction or
constriction more complete and obstinate, and for that reason it
induces sterility. With those who have once borne and afterwards
acquired the flexion, the possibility of conception is much greater.
When the enlarged and swollen body of the uterus is pushed backwards
and downwards, it presses on the sacral plexus of nerves; this is a
bundle of nerves that supplies branches to the legs, and from this
pressure the lower extremities become lame or paralyzed either on
one or both sides. The paralysis subsides after the removal of the
offending body. There is quite a number of other neurotic affections
that can often be traced to a retroflected uterus. These are all of
a functional nature, and appear in the form of hysteria, epilepsy,
St. Vitus’ dance and neuralgias of almost any part of the body. Dr.
Chrobak, of Vienna, reported a case of asthma that had resisted all the
treatments that could be suggested, until it was finally traced to a
retroflected uterus; that being rectified, the asthma subsided.
Irritability of the bladder is not so frequent a symptom of this
variety of displacement as of others; should there be inflammation
complicating the bladder, then, of course, there would be considerable
annoyance from this source.
Habitual constipation is often very prominent and in some of the cases
it is the only sign that leads to an examination, which reveals the
retroflexion. Hemorrhoids or piles, due to a compression of the veins
of the rectum, are another complication included in the signs of this
displacement.
TREATMENT.