. A manual of gynæcology and pelvic surgery, for students and practitioners. retrodisplacement during the second andthird puerperal weeks, and early resumption of corsets duringthis time has the same deleterious effect. Congenital retroversion and retroflexion, and backward dis-placement of the fundus associated with anteflexion of the cer-vix, make up a fairly large number of retrodisplacements, which,while small in proportion to those due to the injuries and sequelaeof labor, is by no means so inconsiderable as is usually taught. RETROVERSION AND RETROFLEXION 265 Acute retroversion and flexi
. A manual of gynæcology and pelvic surgery, for students and practitioners. retrodisplacement during the second andthird puerperal weeks, and early resumption of corsets duringthis time has the same deleterious effect. Congenital retroversion and retroflexion, and backward dis-placement of the fundus associated with anteflexion of the cer-vix, make up a fairly large number of retrodisplacements, which,while small in proportion to those due to the injuries and sequelaeof labor, is by no means so inconsiderable as is usually taught. RETROVERSION AND RETROFLEXION 265 Acute retroversion and flexion are sometimes produced byfalls upon the buttocks and back, and result in the immediateonset of acute symptoms. The older school of gynaecologists laid great stress upon theimportance of mechanical disturbances of the uterus, while atpresent many well-known authorities contend that posteriormal-positions alone and by themselves provoke no symptomswhatever, any discomfort being referred entirely to associatedlesions and complications. It certainly is true that posterior. Fig. 123.—Retroflexion. The axis of the uterus is a curved line, concavity posteriorly. displacements at times are wholly without symptoms and un-known to the patient unless discovered accidentally, but it isjust as certain that in many more instances correction of aretroversion or retroflexion gives relief to many annoying symp-toms, whether these symptoms are directly due to the displace-ment or not. Symptomless retrodisplacement is most likelycO be found in virgins and nulliparous married women, whiledisplacement without discomfort is rare in child-bearing women. 266 DISPLACEMENTS OF THE UTERUS Symptoms.—The symptom most bitterly complained of is asense of weakness and dragging in the lower abdomen, par-ticularly if the patient stands a great deal. Walking usuallyprovokes less discomfort than standing. Severe sacral back-ache is common, and leucorrhea is almost always menstruation, so
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