. A reference hand-book of gynecology for nurses . e increased discharge, profuse menstruation,pelvic pain, and tenderness. Displacements of the Uterus.—The normalposition of the uterus is moderate anteversion. (SeeFig. 6.) In anteflexion the body is bent forwardsharply upon the cervix to form an angle. Un-developed uteri are usually anteflexed; the symp-toms of anteflexion are dysmenorrhea and ster-ility. In retroversion the whole organ is turned slightlytoward the hollow of the sacrum. In retroflexion (Fig. 26) the body is bent backsharply on the cervix. The symptoms of backward displacement
. A reference hand-book of gynecology for nurses . e increased discharge, profuse menstruation,pelvic pain, and tenderness. Displacements of the Uterus.—The normalposition of the uterus is moderate anteversion. (SeeFig. 6.) In anteflexion the body is bent forwardsharply upon the cervix to form an angle. Un-developed uteri are usually anteflexed; the symp-toms of anteflexion are dysmenorrhea and ster-ility. In retroversion the whole organ is turned slightlytoward the hollow of the sacrum. In retroflexion (Fig. 26) the body is bent backsharply on the cervix. The symptoms of backward displacements arebackache, leukorrhea, dysmenorrhea, menorrha-gia, sterility, or repeated abortions. Prolapsus uteri is descent of the uterus below 42 GYNECOLOGY FOR NURSES its normal level in the pelvis. The causes ofprolapse are falls, instrumental delivery, andperineal lacerations. In complete prolapse, orprocidentia, the uterus appears outside of thevaginal orifice. Tumors of the Uterus.—The most commontumor of the uterus is a fibromyoma (Fig. 27), a. Fig. 26.—Retroflexion of the uterus (Ashton). growth derived from hypertrophy of the normalfibrous and muscular tissue of the organ. These tumors may develop beneath the mucousmembrane lining the uterus, and project into theuterine cavity, where they are called submucousfibromyomata. They may develop on the sur-face of the uterus, and grow toward the peritonealcavity—subserous fibromyomata; or they maydevelop in the muscular wall of the uterus andproduce a general enlargement of the organ withoutprojecting nodules—interstitial fibromyomata. The symptoms of submucous fibromyomata areenlargement of the uterus, hemorrhage at orbetween the periods, leukorrhea, and dysmenor-rhea. Interstitial fibromyomata also cause hemor-rhage. The subperitoneal forms do not cause GYNECOLOGIC DISEASES 43 hemorrhage, but attract attention by increasedsize and pressure symptoms. The cause of fibroid tumors is unknown; accord-ing to the latest theory,
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