Q & A: Tilted Uterus and Pregnancy – Top Things You Need to Know

Tilted Uterus and Pregnancy

If you are not hoping for little angels, or have no troubles in conception, then probably the idea of what direction your uterus never crosses your mind. However, if you are among the 20% of women in this world who has a tilted uterus and is struggling to fertilized, surely you will have many questions about its relevance to your fertility as well as consequences it may cause to your baby. Don’t worry, in this article we will go over reliable researches to provide you with the necessary knowledge about titled uterus and pregnancy. From basic to advance, let’s get to know about tilted uterus together!

#1 What Is a Titled Uterus?

Firstly, a uterus is the hollow, pear-shaped organ where a developing fetus will grow. A normal uterus will tips slightly forward toward the bladder and in straight vertical position – this called anteverted uterus. However, tilted uterus (or retroflexed/retroverted uterus) is tipped backward toward the back of the spine.

#2 What Caused a Titled Uterus?

In the vast majority of women who have retroverted uteruses, the mainly common cause is genetic – which means they are born with it. This condition is not an abnormality or a medical condition, it is just simple a normal anatomical variation, just like eye or hair color.

However, there are some certain factors can cause a uterus that is in a normal position tips backward. These causes included:

– Pregnancy: During pregnancy, the uterus is enlarged to make enough space for the baby. Therefore, the ligaments that hold the uterus in the right place become weakened. As a result, after delivering the baby, many women’s uterus changes, from anteverted one turns into retroverted.

– Menopause: During menopause, estrogen levels drop rapidly in women. Just like pregnancy, this can cause the ligament to be weaker and allow the uterus to slip into a retroverted position.

– Reproductive health problems: Certain reproductive health issues, including PID (pelvic inflammatory disease) and endometriosis can make the uterus to tilt backward. These illnesses can lead to scar tissue formation on the inside of the abdomen, therefore forces the uterus out of its original position.

Nevertheless, these factors are less common than the genetic cause. There is some evidence that older women or women who have had multiple pregnancies are easier to have retroverted uterus due to these causes than others women.

#3 How Do You Know if You Have a Tilted Uterus?

The majority of women who has a retroverted uterus experience no symptoms before you getting pregnant. However, if the signs do present, the two most common symptoms occur include:

– Pain during sex (particularly vaginal intercourse) – dyspareunia, and

– Pain during the menstrual cycle (dysmenorrheal).

The pressure that the tilted uterus places on the rectum and the ligaments around the tailbone is the reason for this pain and discomfort. You can check if your uterus is tilted or not by visiting doctor for a routine pelvic exam or an abdominal ultrasound.

#4 Is It Harder to Get Pregnant With a Tilted Uterus? Are There Any Health Issues?

Luckily, no. However, sometimes a retroverted uterus can be a warning sign of other underlying reproductive issues. These conditions such as endometriosis or pelvic inflammatory disease (PID), not the angle of the uterus, can make it harder for you to get pregnant. They create scar tissue that makes the journey of the egg to get through fallopian tube more difficult. Therefore the egg can’t meet the sperm. Contact your health care provider immediately if you are experiencing: severe abdominal or pelvic pain, irregular menstrual periods or irregular ovulation or infertility.

If you leave it untreated carefully, these conditions can endanger your reproductive organs as well as overall health.

#5 Is There Any Way to Treat a Titled Uterus?

There are actual things that you can do to reduce the hindrance that a tilted uterus brings to your fertility. We suggest you to:

– Take self-fertility massage, for example, Mayan Abdominal Massage or Pelvic floor physical therapy. These massage techniques focus on the lower pelvic region and uterus, therefore help to remove blockages. Your body will be more balanced and work better thanks to this. Fertility yoga is also a worth trying method. However, this tends to be a temporary solution for the problem.

– Try pessary, which is a plastic device that is worn inside of the vagina. It will support the uterus and make it back in the proper position. This device only can be worn in the short term because of the risk of developing a vaginal infection.

– Surgery for a retroverted uterus is also available, but only in some rare cases. It called the UPLIFT procedure, which works to reposition the uterus by cutting and shortening the ligaments that support it. The uplift procedure is a laparoscopic surgery – it is performed with the aid of a small camera.

#6 How Will Tilted Uterus Affect My Baby and Me During Pregnancy?

After getting pregnant, some other rare symptoms associated with a retroverted uterus in the first trimester of pregnancy are:

– More bizarre lower back pain, though this is a common symptom in every pregnancy.

– A bit of urine leaking or increased number of urinary tract infections. Some doctors say that these cases are extremely rare. It only can happen if your growing uterus is tilted very far backward and pushes against your bladder. Nonetheless, you may fix this by leaning backward when peeing, which can shift your uterus off your bladder and relieve the pressure. If you are still uncomfortable or have a hard time going, the practitioner may be able to help you by manipulating your uterus manually.

– Difficulty while using tampons.

– Minor incontinence.

– A harder time locating your baby. There is a small chance that your doctor may have trouble in finding any trace of your baby with a trans-abdominal ultrasound. This means the little angel is a little bit far away from those trying to get a peek at him. Don’t worry. Instead, the doctor may use a trans-vaginal ultrasound to get a better look.

Nevertheless, any negative impact of a retroverted uterus will go away by the second trimester of pregnancy without doing a thing. As your baby grows in the first trimester, the uterus expands in the pelvic cavity, and by 12 weeks to 13 weeks, it will pop up out of your pelvis and into your abdomen to suit your growing baby. At this time, a tilted uterus no longer a tilted uterus – it nearly rights itself upwards just like an anteverted uterus. If your uterus doesn’t move forward, there is a higher risk for a miscarriage, but that’s a very rare situation.

#7 How Will Tilted Uterus Affect the Progress of Giving Birth?

It’s highly unlikely for you to have childbirth complications or result in a C-section. After the first trimester, the uterus will grow so much large that it won’t be tilted anymore. Nonetheless, in very rare situations, a retroverted uterus may lead to back labor, difficulty during delivery or an incarcerated uterus (the uterus is trapped in your pelvis instead of popping up into the abdomen as it grows).

#8 What Will Happen to My Uterus After Giving Birth?

After giving birth, the position of your uterus depends on various factors, including how many ligaments have stretched or how much weight you gained – since added weight puts pressure on the uterus and may affect its postpartum position. Even if your uterus returns to its original position, it is unlikely have no impact on you or your future pregnancies.

#9 What Can I Do to Prevent a Tilted Uterus?

Sadly, there is no way to prevent a retroverted uterus. However, if you have endometriosis or a pelvic inflammatory disease, remember to visit a doctor and get it treated.


Now after reading these 9 Q & A, you probably have a deep enough knowledge about tilted uterus, and also relieve since its impact on you, your fertility and your baby are pretty small. However, we suggest that if there is any sudden trouble; consider visiting your health care provider immediately. Good luck to you on your journey of getting pregnant and giving birth to your little angel!


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