Tilted uterus

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Tilted Uterus

A tilted uterus, also known as a retroverted uterus, retroflexed uterus, or tipped uterus, is a condition where the uterus tilts backward at the cervix instead of forward. It is a common anatomical variation that affects a significant number of women. The condition is typically considered normal and usually does not affect a woman's ability to conceive or carry a pregnancy to term. However, in some cases, it can be associated with symptoms or conditions that may require medical attention.

Causes[edit | edit source]

The orientation of the uterus can be influenced by several factors. A tilted uterus may be a congenital condition, meaning it is present from birth, or it can result from various conditions or events such as:

In many cases, the exact cause of a tilted uterus is unknown.

Symptoms[edit | edit source]

Many women with a tilted uterus do not experience any symptoms. When symptoms do occur, they may include:

  • Pain during sexual intercourse
  • Pain during menstruation
  • Lower back pain
  • Increased frequency of urinary tract infections
  • Difficulty using tampons

Diagnosis[edit | edit source]

A tilted uterus is often diagnosed during a routine pelvic exam. Healthcare providers may also use imaging tests such as an ultrasound to confirm the orientation of the uterus.

Treatment[edit | edit source]

Treatment for a tilted uterus is typically not necessary unless it is causing symptoms. In cases where treatment is needed, options may include:

  • Physical therapy for pelvic floor muscles
  • Pessary devices
  • Surgery, in rare cases

Reproductive Impact[edit | edit source]

Most women with a tilted uterus do not experience difficulties with fertility due to the condition itself. However, if the tilt is associated with other conditions such as endometriosis or fibroids, fertility can be affected. It is important for women experiencing difficulty conceiving to consult with a healthcare provider for a full evaluation.

Conclusion[edit | edit source]

A tilted uterus is a common variation in the position of the uterus. While it is usually not a cause for concern, understanding the condition can help address any symptoms that may arise and assist in managing related health issues.


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Contributors: Prab R. Tumpati, MD