Getting Pregnant with a Tilted Uterus

What is a retroverted uterus?

Most women have an anteverted uterus which is angled in a straight up/down position in the pelvic region, or that leans forward a little, towards their bladder.
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.


happy woman checking pregnancy test sitting


What can cause a retroverted uterus?

Most women with 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 make a 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 during 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. The position of your uterus has nothing to do with your ability to become pregnant, as having a retroverted uterus is simply a normal variation. If you are experiencing difficulties conceiving your GP will look for other fertility issues before considering the position of your uterus. You’ll also be reassured to know that having a uterus that tips backwards is not a problem during pregnancy either. It will reposition on its own around the 10th to 12th weeks (during the second trimester) in order to allow your baby to develop healthily.

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 certain sex positions that are better than others for becoming pregnant?

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 if you have a tilted uterus. However, if you still feel pain during sex, you should promptly go to see your gynecologist.

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  1. Myself and my husband had been trying to get pregnant for 18 months before I was referred to Native Iyabasira fertility solution. We had no definite diagnosis of what was wrong and had become very frustrated. In November 2015 I was given a thorough reproductive health work up, I found out I had low progesterone, thyroid issues and a stomach issue which was affecting my ability to get pregant. This was a very thorough process involving dietary, hormonal and physical investigations and started the recommended treatments in Feb 16 2016. I was pregnant by april 16. I had a baby boy in march 2017. I was carefully monitored and mother Iyabasira was always available for me. I can’t recommend native iyabasira more highly so much so we are hoping to start trying for a second baby under her guidance.

  2. It’s been a year since my Cooper IUD has been removed I haven’t got pregnant but before the IUD I got pregnant back to back my baby was 7and a half weeks I was pregnant again now I’m not getting pregnant

  3. I have retroverted uterus and its possible to get preganant,two month back only i know,and alternaye month my periods delaed to 10 to 15 days ,what reason please tell me madam

  4. I have rvf uterus. Trying 3 year more. I have ovarian cyst and uterus polyp. From childhood I have irregular periods. Any advice for me . I

  5. Hi, my wife got a retroverted uterus and we have been trying for pregnancy since last year, we couldn’t get it. We also tried some sex positioning to achieve a pregnant but none worked well. Please kindly find a solution for my wife’s issue. Thanks

  6. For those trying to get pregrant, with tilted uterus, take you a very good multivitamin and try positions where you are upwards (on top ).

  7. I have retroverted utreus and got pregnant soon after getting the infertility treatment.
    I had endometriosis as well as PCOS.
    I got treatment and in the same month i got pregnant. Now my daughter is 2 years old ?. Its always better to see a good gynacologist and have regular checkups when you see some odds in your cycles.

  8. There’s a lot on here but there’s not much on what positions are best to use when you have a retroverted uterus I’ve been looking online and not much help does anybody have any suggestions on positions with a retroverted uterus trying to get pregnant?

  9. The positions I believe best is missionary style with large fluffy pillow under you. After you have finished don’t get up. You will need to prop yourself even higher for at least 30 mins. Also I know it sounds silly or crazy but if you can stand on your head. If you can tilt yourself upside down it will all run down and stay inside. I think of it as the sperm has to go uphill and it takes different ways of getting it back there. Hope this helps!