A tilted uterus is a uterus which tips backward, rather than having a slight forward tilt, as is more conventional. Also known as a tipped or retroverted uterus, a this type of uterus is very common, and many women have this slight anatomical difference without even being aware of it. Having a uterus that is tilted can result in problems such as discomfort during sexual intercourse or painful menstruation, but in many cases the problems are very mild. Treatment is available for women who experience more serious complications as a result of a tilted uterus.
Doctors sometimes compare having a tilted uterus to being left handed, to stress the fact that it's a very normal variation which often has minimal impact on a woman's life. One of the most common causes of uterus tilting is variations in development which occur during childhood. Medical conditions such as endometriosis and uterine fibroids have also been linked with a retroverted uterus, and the condition can also emerge in the wake of childbirth, during menopause when the surrounding ligaments weaken, or as a result of pelvic surgery.
A gynecologist may identify a tilted uterus during a routine examination. As a general rule, there are no special recommendations for the patient, although if she has difficulty inserting tampons, experiences painful intercourse, or complains of dysmenorrhea, she may be encouraged to perform physical exercises which are intended to encourage the uterus to move forward. Surgery can also be performed to reposition the uterus.
Historically, people believed that having a uterus that is tilted could lead to fertility problems. In fact, researchers have determined that this condition does not cause problems with conception or carrying a baby. Women with this anatomical variation who do have fertility issues typically have these issues as a result of the underlying condition which caused the tilted uterus in the first place; women with a history of fibroids, for example, can have fertility problems.
A tilted uterus during pregnancy is also not a major cause for concern. Often, the uterus will move into position naturally as the baby develops. In a small number of cases, a retroverted uterus has been linked with miscarriage in the early stages of pregnancy. However, there are many causes for miscarriages during the first trimester which can make it difficult to link them specifically with uterine position. Women who are concerned can discuss their worries with their obstetricians or prenatal care providers.