Women health

What Does It Mean When You Have A Tilted Uterus?

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For a healthy woman, the uterus is often in a straight and vertical position. A tilted uterus, also referred to as tipped or retroverted uterus occurs when the uterus tilts toward the back of the pelvis. 

If you suspect of this condition, your doctor can perform a routine pelvic exam to check for this. This article offers you an insight into:

  • What causes the uterus to tilt
  • Sign and symptoms of a tilted uterus
  • Best sex position for a tilted womb or  uterus and
  • How to get pregnant fast with a tilted or retroflexed uterus

Causes of tilted uterus

The uterus is a hollow, pear-shaped organ where the fetus grows. It is normally in a straight vertical position, women develop tipped, or tilted uterus for a number of reasons.

1. Natural variation

Naturally, as a women grow and advances in age, the uterus may fail to move into a forward position, in such cases, it tiles backward gradually causing a retroverted uterus.

2. Endometriosis

This is a painful condition in which tissues that often lines the inside of the uterus grows outside the uterus. This condition commonly involves the ovaries, fallopian tubes and the tissues that line the pelvis.

Since the displaced tissues have no way to exit the body, they become trapped. The tissues thicken, breaks downs and bleeds with each menstrual flow. The surrounding tissues may become irritated, eventually developing scar and adhesions.

Endometriosis can be shown by the following symptoms:

  • Pain during intercourse
  • Dysmenorrhea or painful periods
  • Pain and bleeding during bowel movements
  • Infertility

3. Fibroids

Uterine fibroids are noncancerous growths of the uterus that often appear during childbearing years. These growths are not related to uterine cancer and rarely develops into cancer.

Fibroids will often range in size from seeding, undetectable

fibroid location

growths to bulky masses that can distort and enlarge the uterus. In extreme cases, these growths can expand the uterus so much it reaches the rib cage.

With fibroids, you can have the following symptoms:

  • Heavy menstrual bleeding
  • Pelvic pressure
  • Frequent urination
  • Difficulty emptying the bladder
  • Constipation
  • Leg pains
  • Periods that last for long

4. Adhesions

Adhesions are excess tissue and scarring caused usually by previous surgery, infection or endometriosis. Adhesion causes tissues and organs to stick together.

This can cause infertility by preventing the egg from reaching the uterus.

5. Childbirth

Childbirth can also tip the uterus backward or forward, this is especially common if the ligaments that hold the uterus in place stretch or lose their tension during pregnancy. In most cases, however, the uterus will often return to a forward position after childbirth.

Symptoms of a tipped uterus

A tipped uterus can be shown by the following symptoms:

  • Severe pain during menstruation
  • Pain during intercourse
  • Mild to severe back pain
  • Urinary tract infections
  • Difficulties using a tampon

Tilted uterus during pregnancy and miscarriage

During the first weeks of pregnancy, the uterus sits between two bones, the sacrum (a large bone in the middle of the pelvis at the base of the spine) and the pubic symphysis, a pelvic joint located above the vulva.

In most women, the uterus develops leaning forward towards the navel. With a tilted womb, however, the uterus has naturally grown with a backward tilt towards the spine. This is medically known as a retroflexed uterus.

During pregnancy, the symptoms of a tilted womb will include the following:

  • Back pain especially in the early weeks of pregnancy
  • A hard time locating the baby and
  • Difficulties emptying the bladder

A tilted uterus will rarely have any effect on the pregnancy. In most of the cases, any negative impact of a tilted womb will often go away by the second trimester of the pregnancy without doing anything. A retroflexed uterus does not in any way cause a miscarriage

What happens is, as your baby grows in the 1st trimester, the uterus expands in the pelvis. By the 4th months of pregnancy, your uterus pops up out of your pelvis and into your abdomen to accommodate your growing baby.

Though very rare, if the uterus does not move into a middle position, one can have a miscarriage. After delivering, the position your uterus settles in will now depend on a number of actors which will include the following:

  • How much your ligaments have stretched during pregnancy
  • The amount of weight gained among others

Even if your uterus becomes tilted again, it will rarely have any impact on your future pregnancies.

Pictures of tilted uterus

tilted uterus pic 1


tilted uterus pic 2


Uterus tilted back- retroverted

A retroverted uterus which happens when your uterus tilts backward can be a sign an underlying condition such as endometriosis or pelvic inflammatory disease.

When this is the cause of the tilting, they can make it harder for one to get pregnant. These conditions can create scar tissue that may make it harder for the egg to get through the fallopian tube for fertilization to take place.

The tilting can be left untreated but when the underlying caused are either endometriosis or pelvic inflammatory disease, then treating these conditions may increase your chances of consumptions.

Uterus tilled forward- anteverted

Just as when the uterus is tilted backward, there is no medical problem caused when the uterus is tilted forward or when you have an anteverted uterus.

At least 75% of women have an anteverted uterus, why this occurs is simply a function of development.

How do you know you have a tilted uterus, signs

A retroverted uterus or a tilted uterus means that the uterus is tipped either forward or backward so that it aims the rectum instead of forward towards the belly.  In most cases, this condition will often show no symptoms.

When problems occur, it is often because the woman has an underlying problem such as endometriosis. In such cases, you will expect the following symptoms:

  • Severe pain during intercourse
  • abnormal period cramp
  • extreme back pain
  • urine leaking
  • urinary tract infections
  • fertility problems
  • minor incontinence

How to get pregnant fast with a tilted uterus

Contrary to the popular belief, a retroflexed uterus does not make it harder to conceive. The ability of a sperm to get through your uterus has a lot to do with the sperms ability to swim and nothing to do the shape and appearance of the uterus.

Another factor that matters is the consistency of your cervical mucus when the sperm is released. So yes, you can still get pregnant even with a tilted womb.

If, however, you are unable to conceive and you suspect it to be a complication of your tilted uterus, we recommend your schedule and appoint with your OB-GYN who will be able to run some test and identify what the actual underlying cause might be.

Sex position for tilted uterus

With a tilted womb, you might experience back pain and pain during sex. Some women also experience a bit of urine leaking and urinal tract infections. It is also possible to have pains during your period and difficult difficulties using tampons.

Sex especially vaginal penetration may be very painful for women with a retroflexed uterus. The pressure on the rectum and ligament of the tailbone makes penetration and thrusting uncomfortable. To reduce the pain, consider a change in sexual position as well as the depth of thrusting.

Treating tilted or extroverted uterus

Treatment is rarely required for a tipped uterus. In rare cases, however, the treatment will start by identifying the root cause of the problem and gradually treating it.

This is done to prevent serious complications that might arise from these underlying conditions. Common treatment options will include:

a) Physical exercises that may help reposition the uterus, this method does not work in severe cases

b) Inserting a pessary inside the uterus for structural support

c) Manual repositioning

d) A surgical procedure in severe cases. This may include a uterine suspension or an UPLIFT procedure

e) Treating the underlying causes like endometriosis, adhesions, fibroids among other conditions

See Also:


  1. Wikipedia, Retroverted uterus: https://en.wikipedia.org/wiki/Retroverted_uterus
  2. Baby center, Will a tilted uterus make it harder to conceive? https://www.babycenter.com/404_will-a-tilted-uterus-make-it-harder-to-conceive_1460112.bc
  3. Health line, what you need to know about tilted uterus: https://www.healthline.com/health/womens-health/tilted-uterus
  4. Women’s health, Can you conceive with a tilted uterus: https://www.womens-health.co.uk/effects-of-tipped-uterus.html
  5. American Pregnancy Association, Tipped uterus: http://americanpregnancy.org/womens-health/tipped-uterus/

1 Comment

  1. Truman Kayastha

    November 2, 2017 at 8:41 pm

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