Introduction
A retroverted uterus, also known as a tilted uterus, is a common condition where the uterus tilts backward toward the spine instead of forward toward the bladder. While many women may not even know they have it, some might experience discomfort, menstrual changes, or difficulty during intercourse.
At Nandhini Pearl Hospital, our fertility and gynecology experts often reassure patients that a retroverted uterus is usually normal and treatable — and in most cases, it does not cause infertility or pregnancy complications.
What Is a Retroverted Uterus?
Normally, the uterus leans slightly forward over the bladder. In a retroverted uterus, it tilts backward toward the rectum. It is also called:
- Tilted uterus
- Tipped uterus
- Retroflexed uterus
This condition affects about 20–30% of women, and most live healthy lives without any issues
Causes of Retroverted Uterus
There are several reasons why the uterus may become retroverted:
- Natural variation: Some women are born with a tilted uterus.
- Pregnancy: The stretching and shifting of ligaments during pregnancy can change the uterus’s position.
- Endometriosis: Scar tissue can pull the uterus backward.
- Fibroids: Non-cancerous growths in the uterus can alter its shape and tilt.
- Pelvic inflammatory disease (PID): Infection and inflammation may lead to scarring, changing uterine position.
- Menopause: Weakening of pelvic ligaments with age can also contribute.
Symptoms of a Retroverted Uterus
Many women experience no symptoms, but some may notice:
- Lower back pain during periods or intercourse
- Pain during sexual intercourse (especially in deep penetration)
- Menstrual discomfort or cramping
- Urinary frequency or difficulty emptying the bladder
- Mild pressure or heaviness in the pelvic area
- Difficulty inserting tampons
If these symptoms affect daily comfort, a gynecological check-up is recommended.
Diagnosis
A retroverted uterus is easily detected through:
- Pelvic examination – your doctor can feel the position of the uterus manually.
- Ultrasound scan (transvaginal or abdominal) – confirms the tilt and rules out other causes like fibroids or cysts.
Does a Retroverted Uterus Affect Fertility?
In most cases, no — it does not prevent pregnancy.
However, if the tilt is caused by endometriosis or fibroids, those underlying conditions might affect fertility. Once treated, conception chances are usually normal.
At Nandhini Pearl Hospital, we provide advanced fertility assessment and personalized treatment for such cases to support natural or assisted conception.
Retroverted Uterus and Pregnancy
During early pregnancy, the uterus may remain tilted, but by the 12th week, it usually moves into the normal forward position as it grows.
Rarely, if it stays tilted, it might cause urinary retention or mild back pain — but doctors can easily manage it with position correction techniques.
Most women with retroverted uterus carry healthy pregnancies and have normal deliveries.
Treatment Options
Treatment depends on symptoms and the cause:
- No treatment needed – if there are no symptoms.
- Pelvic exercises (Kegel or knee-chest position) – may help reposition the uterus naturally.
- Treating underlying causes – such as endometriosis, infection, or fibroids.
- Pessary device – a small silicone device inserted into the vagina to support uterine position.
- Surgical correction (Uterine suspension) – considered rarely, only if pain or fertility issues persist.
When to See a Doctor
You should consult a gynecologist if you experience:
- Persistent pelvic or back pain
- Pain during intercourse
- Difficulty conceiving
- Changes in menstrual pattern
- Bladder or bowel pressure symptoms
Expert Care at Nandhini Pearl Hospital
At Nandhini Pearl Hospital, our team of experienced gynecologists and fertility specialists provides:
- Accurate diagnosis through advanced imaging
- Personalized treatment for each patient’s needs
- Support for conception and pregnancy
- Comprehensive women’s health counseling
Your comfort, fertility, and well-being are our top priorities.