Retroverted, tilted or tipped uterus

By BSc, MSc (embryologist) and BA, MA (fertility counselor).
Last Update: 01/29/2015

Retroverted uterus is an anomaly in the uterus position that approximately 20%-30% of women have to endure.

The position of the uterus points towards the back instead of ahead, and it’s leant towards the last part of the intestine. That’s why it may put pressure on the rectus and cause pain when defecating and chronic constipation, apart from painful sexual relationships.

Other common symptoms are: pain in the lower back area during the menstrual cycle, cough, irritability, stomach discomfort, headache etc.

This alteration can be congenital or acquired. It may be caused by inflammations, endometriosis, inflammatory pelvic disease, tumours, menopause, pelvic surgeries, labours, or abortions.

The diagnosis is carried out through a pelvic examination, although it can be confused with a pelvic mass or the growth of the fibroma. A rectus-vaginal examination is performed to distinguish the retroverted uterus. Finally, an ultrasound can be carried out to determine the exact position of the uterus.

The treatment is focused on relieving the pain through painkillers and hormonal contraceptive pills. A surgical intervention may be performed in some cases to correct the position of the uterus and put it back in its proper place, but it’s not common.

Retroverted uterus, fertility and pregnancy

It was believed that retroverted uterus could cause fertility problems, but the researches done in this area assure that this is not the case. Some women that have retroverted uteruses get easily pregnant and have normal pregnancies without complications.

Nevertheless, those that have difficulties to conceive will probably suffer from endometriosis or pelvic diseases too. In these cases, the pathologies, and not the position of the uterus, are the ones causing infertility.

During pregnancy, the body tends to displace the uterus to its proper position and the baby develops without problems.

In some uncommon occasions, the uterus doesn’t place in its common position, which may cause miscarriages.

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 Sarai Arrones
Sarai Arrones
BSc, MSc
Bachelor's Degree in Biomedicine and Biomedical Sciences from the University of Valencia (UV). Master's Degree in Biotechnology of Human Assisted Reproduction from the UV and the Valencian Infertility Institute (IVI). Specialist Training Course of gamete, embryo, and animal tissue cryopreservation. Embryologist specializing in the field of Assisted Procreation. More information about Sarai Arrones
Adapted into english by:
 Sandra Fernández
Sandra Fernández
Fertility Counselor
Bachelor of Arts in Translation and Interpreting (English, Spanish, Catalan, German) from the University of Valencia (UV) and Heriot-Watt University, Riccarton Campus (Edinburgh, UK). Postgraduate Course in Legal Translation from the University of Valencia. Specialist in Medical Translation, with several years of experience in the field of Assisted Reproduction. More information about Sandra Fernández

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