The general symptoms of displacement of the womb, are often the same as those already described as characteristic of chronic congestion of the organ, which is one of the most common causes of displacement The uterus may be displaced in three ways, known as anteversion, retroversion, and prolapsus. Lateral displacements also occur, but not very frequently.


In anteversion, the uterus, while maintaining its straight form, is tipped forward against the bladder. The organ is tipped slightly for ward in its natural condition, so that anteversion is simply an exaggeration of its natural state. The particular symptoms which arise from this form of displacement are painful and frequent urination; aching pain just above the pubic bones; in some cases pain in moving the bowels; and inability to walk or to be upon the feet on account of the aggravation of the local pain. The principal causes of anteversion, are enlargement of the womb by violent efforts, as in lifting, jumping, straining, and especially tight-lacing; the last-named cause is undoubtedly one of the most common of all. Anteversion may also be the result of the weakening of the ligaments which sustain the uterus in position, which may arise from general weakness of the whole system.

The Treatment of Anteversion

The first matter to be attended to, is removal of the cause. This will require attention to the suggestions made for the same purpose with reference to chronic congestion of the uterus. Sitz baths and hot douches should be thoroughly employed. The patient should remain as much as possible in a horizontal position upon the back. A properly adapted pessary or supporter will sometimes be of great service as an aid to cure, although pessaries are seldom capable of effecting a cure of themselves. A surgical operation is sometimes necessary, in order to effect a radical cure. Much harm has often resulted from depending upon the use of pessaries in these cases. The supporter is of service; but we can accomplish much more in the treatment of the displacements without pessaries of any sort, than with them alone.