On account of its lack of strong attachment, the womb is very easily displaced. When from any cause the womb is congested and heavy the extra weight stretches the supporting muscles and ligaments, which then allow it to fall out of place. It also may be displaced by a sudden fall, by jumping or other strenuous exercise. As the womb normally is heavier at the menstrual period than at any other time and as there is a natural congestion then, it is more easily displaced at that time than during any other part of the month. This is one reason why one should be careful not to take strenuous exercise at the menstrual period.
The most common displacement, or the most common way for the womb to tip, is backwards and at the same time it usually falls downward. You remember, the rectum is directly back of the womb, so, if the womb is tipped backwards, it presses against the rectum. This tends to prevent the feces, or bowel movement, from passing out naturally and helps to produce constipation. The womb, pressing against the rectum, also presses on the blood vessels which are very numerous there. This pressure on the blood vessels prevents the blood from leaving them. If it is held there, it causes the blood vessels to dilate in order to be large enough to contain it. We call this enlarged portion of the vein a blood tumor. These tumors or dilated blood vessels of the rectum are called hemorrhoids or piles. I will explain these more thoroughly when I talk to you about constipation.
The womb may tip forward, pressing on the bladder and causing a frequent desire to urinate. More rarely it is tipped to one side. It then tends to pull on the ovaries and produce pain and various nervous symptoms.
The womb may fall downward, pressing against both the bladder and rectum and dragging the ovaries and tubes out of their natural positions. Sometimes it even protrudes from the vagina. Any falling or displacement of the womb pulls on the tubes and ovaries, often producing an inflammation. This inflammation should not be allowed to continue, as it may become serious, even extending to the peritoneum and producing peritonitis. The nerves of the uterus are very closely connected with the spinal nerves, therefore, any displacement reacts through them and may produce headache and backache, which are the common accompaniments of any uterine disorder.
KNEE-CHEST POSITION
One of the most simple and yet efficacious treatments to correct a displacement downward and backward is to assume the knee-chest position for a few moments morning and evening after the clothing has been removed. In the knee-chest position, the patient kneels on the bed, then bends forward until her chest touches the bed; the back slopes down and the thighs should be at right angles with the bed. This position allows the various organs to fall forward and toward the upper part of the body, the pressure on the uterus is relieved and it assumes its natural position. This treatment, persisted in, will relieve nearly every case which has not some other disorder connected with it. If every woman would assume this position for a few minutes once or twice a week, just before retiring, she would be greatly benefited; for the majority of women have a slight falling of the womb, which then presses on the rectal and other nerves causing various nervous symptoms.
The womb and ovaries are surrounded by a dense network of nerves and blood vessels, making them very liable to congestion. Tight clothing or improperly fitted clothing causes pressure and interferes with the circulation. I believe that a large percentage of the objections to the corset originated from women wearing improperly fitted corsets which pushed the organs out of place. A corset fitted to the wearer is not injurious and serves as a support. Overwork, catching cold and excesses may produce a congestion which is one stage of inflammation. The most common symptoms of inflammation of the womb are pain in the pelvic region, a dull backache, especially across the hips, and a vaginal discharge called leucorrhœa (whites). Any leucorrhœa shows a disordered condition which should be corrected. It may be simply of a catarrhal nature, due to pressure or cold, or it may indicate a more serious condition, as the presence of one of the black plagues. Whenever a woman notices a vaginal discharge, it is a wise plan to go at once to a reliable physician, find out what is the cause and nature and then take measures to correct it. In the beginning a very little treatment, such as hot douches, may be all that is required, while if untreated the condition may become serious, as you will understand when I explain about the black plagues.
Any disorder of the uterus or ovaries reacts through the nerves upon other parts of the body and may produce various symptoms such as general weakness, headaches and backaches. This drain on the system often is shown by dark circles under the eyes, pale skin and a drawn, haggard expression. All these tend to rob a woman of her charm of physical excellence, and none of us wish to lose that; for it is natural for all women to wish to appear attractive.