What is it?

Having a retroverted uterus means your uterus curves backward rather than forward toward your abdomen.
Retroverted uteri can either be present at birth or develop later in life. Retroverted uteri don't always cause symptoms, so some people are unaware of it.

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Additional names

This group contains additional names:
- tipped uterus
- tilted uterus

Signs & symptoms

It is possible to have a retroverted uterus without experiencing any symptoms. The most common symptoms are:

Menstrual pain.
Sexual intercourse can be painful, especially in certain positions.
Having trouble using tampons during menstruation.
Problems with the urinary system, such as urinary tract infections (UTIs) and urinary incontinence.

Diagnosis

By doing a pelvic exam, your gynecologist can determine if you have a retroverted uterus. Your healthcare provider will feel your cervix and uterus during this exam to determine how it tilts. In some cases, an ultrasound is used to confirm a retroverted uterus and rule out more serious conditions like uterine fibroids or endometriosis.

Treatment

Treating the underlying condition: Treating the underlying cause of a retroverted uterus may improve your symptoms.
The uterus can be manually moved forward by some healthcare providers. Strengthening your pelvic muscles can help keep your uterus in that position if this happens. Kegel exercises involve tightening your pelvic muscles as if you were holding back urine. After a few seconds, release the muscles. Retroverted uteri caused by scar tissue won't respond to exercises, and it may return to its retroverted position.
A pessary is a donut-shaped plastic device inserted into the vaginal canal. Your vaginal wall acts as a support structure, holding things in place. Your uterus can be propped up in an anteverted position with this device.
You can have your uterus surgically repositioned to face forward. It is also known as uterine suspension or uterine repositioning surgery. A tilted uterus can be permanently fixed and pain relief can be provided. A hysterectomy (removal of your uterus entirely) may be considered in severe cases.

☝️ This is not a substitute for professional medical advice. Please consult with your physician before making any medical decision.

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