. Clinical gyncology, medical and surgical. s being either congenital or inflammatoryrigidity of the tissues. Usually, however, the anteflexed uterus, no matter 480 DISPLACEMENTS OF THE UTERUS. how marked the degree of flexion, can easily be straightened out with thefingers or the sound. Degrees.—The majority of authorities accept three degrees of ante-flexion, the first being the least marked, the third the most severe. In thefirst degree the angle of flexion is about 90°, or a right angle; the second,45°; and the third, 40°. Of course this is entirely approximate, there beingnumerous variati
. Clinical gyncology, medical and surgical. s being either congenital or inflammatoryrigidity of the tissues. Usually, however, the anteflexed uterus, no matter 480 DISPLACEMENTS OF THE UTERUS. how marked the degree of flexion, can easily be straightened out with thefingers or the sound. Degrees.—The majority of authorities accept three degrees of ante-flexion, the first being the least marked, the third the most severe. In thefirst degree the angle of flexion is about 90°, or a right angle; the second,45°; and the third, 40°. Of course this is entirely approximate, there beingnumerous variations between these three degrees. In these forms of ante-flexion of the body of the uterus let it be understood that the direction ofthe cervix is usually normal,—that is, pointing either slightly towards theexcavation of the sacrum or towards the axis of the vagina. In anteflexionof the cervix, on the other hand, the body of the uterus occupies the normalposition, while the cervix is curled upward and forward, more or less. Fig. Anteflexion, second degree. There are no fixed degrees for this anteflexion of the cervix, which I shallconsider separately at the close of this section. Causes.—As I have already stated under general remarks, an ante-flexion of the uterus is but an exaggeration of the normal antecurvedposition of the organ. The tendency to this exaggeration undoubtedly iscongenital,—that is to say, the child is born and develops with a weak spotin her uterus, and that is the junction of the body and the cervix. Eithershe has the anteflexion at birth or it is developed in the course of growthunder the influences of dress, posture, constipation, etc., which I have alreadytouched upon under general remarks. The one displacement of the uteruswhich is met with in young unmarried and married childless women withthe greatest frequency is anteflexion. It is hardly necessary to enter intoany great detail on this question, because what I have already said, and DI
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