Tilted uterus: know its symptoms and causes

Do you suffer from painful sex and menstrual discomfort? Well, it could be the result of a retroverted uterus, commonly known as a tilted uterus. In this condition, the uterus tilts backward instead of its normal forward position. Therefore, during intercourse, the reclined position may cause shock or pressure on the uterus, resulting in discomfort or pain, and menstrual cramps may be intensified due to pressure. There are several other symptoms of this disease that you should be aware of.

Symptoms of a Retroverted Uterus or Tilted Uterus

In many cases, a retroverted uterus does not cause noticeable symptoms. However, some women may experience:

1. Pain during sex: The positioning of the uterus can cause discomfort or pain during intercourse, especially with deep penetration.

2. Period pain: Some women with a retroverted uterus may experience increased menstrual cramps due to the tilting of the uterus backwards.

The tilted uterus is responsible for your period pain. Image provided by: Shutterstock

3. Bladder or rectal pressure: The retroverted uterus can put pressure on the bladder or rectum, potentially causing urinary or bowel symptoms.

4. Back pain: Back pain or lower back pain can sometimes be associated with a retroverted uterus, especially during menstruation.

5. Pelvic pain: Some people may experience chronic pelvic pain, which can be mild to severe and worsen during menstruation.

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6. Frequent urination: A retroverted uterus can sometimes press against the bladder, causing increased frequency of urination.

7. Difficulty inserting tampons: Some women may find it difficult to insert tampons because the uterus may block the vaginal canal to some degree.

Causes of a retroverted uterus

A tilted uterus can be caused by genetic factors or variations in fetal development. However, here are its 5 common causes:

1. Congenital factors: In some cases, a retroverted uterus is present from birth due to genetic factors. It occurs when the uterus fails to rotate forward during fetal development.

2. Pelvic adhesions: Pelvic surgery, endometriosis, or pelvic inflammatory disease can cause adhesions to form in the pelvis. These adhesions can pull the uterus into a retroverted position.

3. Pregnancy and childbirth: Pregnancy can temporarily cause the uterus to retrovert due to the growing fetus. In some cases, the uterus may not return to its advanced position after delivery.

pregnancy problems
A tilted uterus can develop during pregnancy and childbirth. Image courtesy: Adobe Stock

4. Menopause: Changes in hormone levels during menopause can weaken the ligaments that support the uterus, causing it to tip back.

5. Endometriosis: In this condition, the lining of the uterus grows outside the uterus. The growth of these cells can lead to a tilted uterus.

Impact of tilted uterus on fertility

A retroverted uterus usually does not have a significant impact on fertility. Although some women may worry that it will prevent conception, pregnancy is entirely possible with a retroverted uterus. In fact, many women with this anatomical variation experience successful pregnancies and healthy deliveries. However, for some women, the retroverted uterus can pose some challenges:

1. Design Difficulty: In rare cases, the tilted position of the uterus can affect the journey of sperm to the fallopian tubes, potentially making conception slightly more difficult.

2. Miscarriage issues: Some studies suggest a slightly increased risk of miscarriage in women with a retroverted uterus, especially in early pregnancy. However, the overall impact on pregnancy outcome remains minimal.

A retroverted uterus is a common anatomical variation that affects many women around the world. Although it may be associated with occasional discomfort or mild symptoms, it usually does not have a significant impact on overall health or fertility.

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