Retroverted Uterus: How Does It Affect Pregnancy?

What Is A Retroverted Uterus?

tilted uterus

A retroverted uterus is a very common anatomical variance that occurs in about 1 our of every 5 women. It refers to the uterus being tilted backwards in the pelvic region, either mildly or moderately. A retroverted uterus is very rarely serious and many women are not even aware they have it. In most cases, it has no affect on the ability to get pregnant, carry a pregnancy, or have a natural childbirth. In very rare serious cases, it can cause fertility issues and childbirth complications.


Most instances of a retroverted uterus occur with no cause at all. In some cases, an underlying condition or trauma can cause the uterus to tilt backwards. The following things can result in a retroverted uterus:

  • Pelvic surgery
  • Pelvic adhesions
  • Endometriosis
  • Fibroids
  • Pelvic Inflammatory Disease
  • Childbirth

retroverted uterus


There is one type of retroverted uterus. A related condition is the opposite, an anteverted uterus. An anterverted uterus is a uterus that tips forward in the pelvic region.


In most cases, a retroverted uterus does not produce any symptoms and is an incidental finding for many women. In more moderate cases, if the uterus tips backwards significantly, it can begin to produce symptoms. These include, but are not limited to, the following:

  • Pelvic pain
  • Incontinence
  • Pain during intercourse
  • Fertility issues

tilted uterus


Since most women have no symptoms have a retroverted uterus, they are often diagnosed consequently through imaging for another issue. Diagnostic imaging that can reveal a tilted uterus include a CT (computed tomography) scan or MRI (magnetic resonance imaging) scan of the pelvic region. Pelvic ultrasounds may also reveal a retroverted uterus.


In nearly all cases, the patient does not seek treatment for a retroverted uterus. If the retroverted uterus is causing fertility issues or is affecting their quality of life, they may want to resolve the problem. Treatment options include a surgical procedure in which the uterus is tilted forward into the correct position, or a pessary. A pessary is a device that is inserted into the uterus to shift it forward.

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