Everything you’ve wanted to know about your uterus

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Your uterus is an often misunderstood organ despite its role in your every day life. In an adult, a normal uterus is about the size of your fist.  During every month after puberty, the lining of uterus grows in anticipation of accepting a pregnancy.  If a pregnancy doesn’t occur, the uterine lining is shed in the form of your menstrual cycle.

My doctor told me my uterus is tilted.  Should I be worried?

The uterus is composed of two parts – the body and the cervix.  The body, which holds the baby during pregnancy, sits in the pelvis, between the bladder in the front and the rectum in the back. The cervix is the lower part of the uterus that extends into the vagina and opens to allow the baby to pass during childbirth.  If the angle of the body of the uterus points upward toward the bladder, the uterus is considered anteverted.  If the body points back, it is retroverted. These uterine “tilts” are simply anatomic variants.  They are not related to your ability to get pregnant, carry a baby, or how your menstrual cycles feels.

My friend told me she has a wall in her uterus.  Does this mean she won’t be able to have a baby?

A uterus is shaped like an upside down sack, with the opening at the bottom.  However, about 6% of women will have a uterus that did not form normally.  In some cases, the uterus may have a wall, or septum, down the middle that divides the sack into two parts.  In others, two separate uteri form that each have their own cervix.  Most women do not know they have these abnormalities unless they are affected by infertility or recurrent miscarriage.  These problems can be diagnosed with an MRI or special Xray of the uterus and often can be corrected surgically.

Sometimes, my period is red and other times it is brown.  Does that mean I am close to menopause?

The color of the menstrual blood – whether it is bright red, dark red, or brown – does not have any significance.  In addition, the pattern of flow –whether you start with spotting and increase over time or start heavy and all comes out at once – does not tell us anything about your hormones, your ability to get pregnant, or how close you are to menopause.  Everyone’s pattern is different and can change as you age.

If I have my uterus removed, will I go through menopause?

Menopause is the time in a woman’s life when estrogen levels fall as the ovaries cease producing eggs.  The uterus is a muscular sack that is designed to house a developing fetus.  It does not contain or produce hormones.  After a uterus is removed (called a hysterectomy), the menstrual cycles will stop simply because there is no uterine lining to be shed.  The production of the female hormones such as estrogen and progesterone will continue as long as the ovaries are present.

 

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Author:Mommy Docs

We are Dr. Yvonne Bohn, Dr. Allison Hill, and Dr. Alane Park, and we’ve just celebrated the 10th anniversary of our OB/GYN practice in Los Angeles. The three of us have personally welcomed more than 15,000 babies into the world. We are the featured doctors in the popular TV series “Deliver Me” on OWN: The Oprah Winfrey Network, and have a new series "Mommy Docs" in development for public television. We know the pregnancy and birthing process intimately…from both sides. We’re doctors — but we’re also moms who have been through all the stages of pregnancy with six kids of our own. In addition to obstetric care we also provide guidance and treatment for various women’s health concerns including: Contraceptive Health, Breast Cancer Screening, STD Screening, Menopausal Care, Infertility and Preventive health. Have a question? Email us at info@mommydocs.com

One Response to “Everything you’ve wanted to know about your uterus”

  1. vanessa
    April 17, 2012 at 2:57 pm #

    Hi,

    I recently lost my baby to a uterine rupture. I was about 36.5 weeks and he was my fourth baby, but we had recently lost two other children, the first baby from preeclampsia and placenta abruption. I went on to have two more children after my first baby, who were born healthy and no medical concerns during those pregnancy. I lost my third child to shaken baby syndrome, because he was shaken to death by the babysitter. I decided to have a fourth baby since I still have one child at home. At 36.5 weeks, I felt cramping in my stomach so I thought I had to go to the bathroom, and after pushing to have a BM, I started to bleed. By the time I made it to the hospital the baby had passed away. The doctor saw that my uterus ruptured at the sight of the csection scar. No one has really been able to explain to me how that could just happen without any warning. Why would a uterus rupture without warning, if there is no labor activity?

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