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Tilted uterus: A condition that can lead to painful sex and periods

Tilted uterus condition usually does not cause any serious harm but it can cause painful sex, menstruation problems, pelvic floor pain, etc. Know all about this condition to manage it correctly.
Facts about tilted uterus or retroverted uterus
Know facts about tilted uterus or retroverted uterus. Image courtesy: Adobe Stock
Updated: 28 Aug 2023, 18:43 pm IST
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Do you suffer from painful sex and menstrual discomfort? Well, it could be a result of a retroverted uterus, commonly known as a tilted uterus. In this condition, the uterus tilts backward instead of its normal forward position. Hence, during intercourse, the tilted position may cause the uterus to be bumped or pressed, resulting in discomfort or pain, and menstrual cramps can be intensified because of the pressure.There are several other symptoms of this condition 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 intercourse: The positioning of the uterus may lead to discomfort or pain during sexual intercourse, particularly deep penetration.

2. Menstrual pain: Some women with a retroverted uterus might experience increased menstrual cramps due to the uterus’s backward tilt.

period problems
Tilted uterus is responsible for your period pain. Image courtesy: Shutterstock

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

4. Back pain: Backache or lower back pain may occasionally be associated with a retroverted uterus, especially during menstruation.

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

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

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7. Difficulty inserting tampons: Some women may find it challenging to insert tampons, as the uterus can block the vaginal canal to some extent.

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:

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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 lead to the formation of adhesions in the pelvis. These adhesions can pull the uterus into a retroverted position.

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

pregnancy issues
Tilted uterus can develop during pregnancy and childbirth. Image courtesy: Adobe Stock

4. Menopause: Changes in hormone levels during menopause can weaken the ligaments supporting the uterus, causing it to tilt backward.

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 the tilted uterus on fertility

A retroverted uterus generally does not significantly impact fertility. While some women might worry that it could hinder conception, pregnancy is entirely possible with a retroverted uterus. In fact, many women with this anatomical variation have successful pregnancies and healthy deliveries. However, for some women, the retroverted uterus might pose certain challenges:

1. Difficulty with conception: In rare cases, the tilted position of the uterus may affect the sperm’s journey toward the fallopian tubes, potentially making conception slightly more challenging.

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

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

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About the Author

Dr Sharvari Mundhe, Consultant, Gynecologist and Fertility Specialist, Motherhood Hospitals, Sarjapur, Bengaluru ...Read More

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