Is it important to find the posterior position of the uterus during postpartum gynecological examination?

Postpartum gynecological examination shows that the posterior position of the uterus is usually not a problem and is mostly a normal physiological phenomenon. The posterior position of the uterus may be related to factors such as ligament laxity after delivery, congenital anatomical structures, or pelvic adhesions. If there are no obvious symptoms, special treatment is generally not necessary. The posterior position of the uterus is divided into two types: retroverted and retroverted, and most women do not experience significant discomfort. Some individuals may experience soreness and swelling in the lumbar and sacral regions, menstrual discomfort, or sexual discomfort due to changes in pelvic structure, but the symptoms are usually mild and can be relieved through positional adjustments. Postpartum uterine retroposition is often caused by ligament stretching due to the enlargement of the uterus during pregnancy. During the gradual reduction of the uterus after delivery, temporary positional abnormalities may occur, and with the recovery of pelvic floor muscle function, some may improve on their own. In rare cases, the posterior position of the uterus may be accompanied by pathological factors such as pelvic adhesions and endometriosis, which may result in progressive dysmenorrhea, infertility, or abnormal bowel movements. If a physical examination reveals pelvic mass, poor mobility, or tenderness in the posterior position of the uterus, further investigation is needed to determine the presence of secondary diseases such as adenomyosis and pelvic inflammatory disease.

It is recommended that postpartum women adhere to Kegel exercises to exercise their pelvic floor muscles, avoid long-term supine sleep, and regularly check pelvic ultrasound. If there is a persistent feeling of falling, difficulty urinating, or menstrual abnormalities, timely medical attention should be sought. After excluding pathological factors, the posterior position of the uterus itself usually does not affect fertility and health.