The position of the uterus in the small pelvis is supported by structures that ensure the middle and position. With an empty bladder, the uterus is positioned with its body – fundus on top of it. Behind the uterus is the space of Douglas. Important in obstetrics and gynecology practice are the angles that the body of the uterus makes with the axis of the vagina and with that of the cervix. In the majority of women, the uterus and vagina form an obtuse angle that is open forward, referred to as anteversion. The angle that the uterine body makes with the cervix is ​​also in most women open forward and is referred to as anteflexio. Usually, the position of the uterus is determined during a routine gynecological examination. If there is a deviation in the position, it is necessary to make a thorough examination to determine the reason for the change. Causes of changes in the position of the uterus Anteposition – displacement of the uterus forward in the pelvic cavity towards the symphysis Retroposition – displacement of the uterus backward in the pelvic cavity Lateroposition – displacement of the uterus to the sides in the pelvic cavity. The deviation can be to the left or to the right, respectively. The most common reasons for a change in the position of the uterus are related to the development of an inflammatory process, as a result of which adhesions may form, which lead to the pulling and displacement of the uterus. Endometriosis is another condition where adhesions can form and cause the uterus to pull. In the presence of tumor processes, due to the fact that they are volume-occupying, they can push the uterus and it can change its central position. Tumor processes may be related to the organs of the reproductive system, but also originate from nearby organs of other systems. A backward displacement of the uterus may result from a full bladder due to the position of the organs relative to each other. Causes of a change in the inclination of the uterus relative to the axis of the vagina and cervix Retroversion – the angle between the uterus and the vagina is open back Retroflexion – the angle between the uterus and the cervix is ​​open back Hyperanteflexion – the angle between the uterus and the cervix is ​​sharp and turned forward Very often a backward-facing angle occurs after childbirth, because during pregnancy there is a great load on the supporting structures of the uterus, as a result of which they are overstretched. This change in position occurs soon after birth, but the uterus can easily return to its normal position. NEWS_MORE_BOX A changed backward angle between the uterus and the cervix and vagina can also be a congenital condition in a woman. Hyperanteflexio is a pathological condition that is most often associated with impaired development of the internal genital organs. A change in the position of the uterus in the pelvic cavity may be associated with complaints from the woman that are not characteristic. Establishing a change in the position of the uterus,it can be done after a routine gynecological examination and an ultrasound examination. The most frequent complaints are related to disturbances in the woman’s monthly cycle. The period of menstruation can be accompanied by pain and have a different duration. Other complaints from the woman are related to lower back pain and difficulty in getting pregnant.