If you’re trying to have a baby and have been told by your doctor that you have a retroverted uterus (also called tilted uterus or tipped uterus), you might wonder if this will make it more difficult to conceive. Don’t worry because, for most women, having a backward uterus doesn’t affect their ability to become pregnant.

What is a retroverted uterus?

Generally, women have a uterus that is placed in a straight up and down position inside of the pelvis, or that leans slightly forward, towards the navel.
However, for 20% of women around the world, the uterus tilts backwards towards the spine or the back of the pelvis. Having a tilted uterus is not an abnormality at all, it’s simply an anatomical variance, just like hair and eye color.

What can cause a retroverted uterus?

Most women who have a retroverted uterus were born with it. It’s genetic in the majority of cases and it’s completely normal. Nonetheless, sometimes a change in position is due to menopause or pregnancy.
Certain fertility problems, such as endometriosis and pelvic inflammatory disease, can also cause the uterus to tilt backwards. The eventual resulting scars of these conditions might lead to a shift in the uterus position.

How can I know if I have a tilted uterus?

Many women are not aware of the fact that they have a tilted uterus. Indeed, in most cases they don’t even notice any symptoms. They often discover it once they are pregnant, when their gynecologist tells them. To check if the uterus is tilted, the doctor can perform a quick test doing a simple pelvic exam and using abdominal ultrasound.
Despite symptoms being uncommon, possible indications that you may have a retroverted uterus include: pain during sex or when you have your periods; back pain, urinary infections or incontinence; difficulty using tampons or getting pregnant. If you experience any of the above you should consider paying a little visit to your doctor!

Does it make it harder to get pregnant?

In the vast majority of cases, no. A sperm’s ability to fertilize an egg is not affected by a tilted uterus. In fact, the uterus’ position doesn’t really matter at all. Besides, if you’re having trouble becoming pregnant, a retroverted uterus is the last on a long list of fertility issues that a doctor will consider. Moreover, it won’t affect your pregnancy either, as during the second trimester (usually around 10-12th weeks) your uterus will move itself into the correct position as a result of your baby’s development.

What are the treatments?

Even if having a retroverted uterus does not represent an obstacle to getting pregnant, there are solutions you can consider if you encounter trouble conceiving. One such solution is to perform knee-chest exercises to help your uterus to move itself. However, this method is more of a temporary solution and won’t help women who have a retroverted uterus due to endometriosis, pelvic infections or fibroid tumors.
Another treatment is to use a pessary, which is a silicone or plastic device. Placed in your vagina, the pessary’s aim is to reposition the uterus. However, this solution is also only temporary, as prolonged use can lead to vaginal infections.
If these solutions don’t help your uterus to reposition, your doctor can recommend a surgical procedure called UPLIFT. With the help of a small camera, the operation’s purpose is to place the uterus into a forward-facing position.

Are there any optimal sex positions for conceiving with a retroverted uterus?

There are no sex positions that will improve your odds of getting pregnant. However, when you have a tilted uterus, having sex can be painful and a little uncomfortable. If you experience this, why not consider certain positions with more shallow penetration or that allow you to control the depth, such as you on top or spooning. Any positions involving raised hips are also great when you have a retroverted uterus. However, if you still feel pain during sex, you should promptly go to see your gynecologist.