239:
151:
29:
121:
438:
A doctor can manually reposition the uterus in a pelvic examination if movement of the uterus is not hindered by endometriosis or fibroids, and exercises afterwards may help. Doctors are divided as to whether or not pelvic exercises are worthwhile as a long term solution, as in many cases the uterus
387:
Rarely, a retroverted uterus is due to a disease such as endometriosis, an infection or prior surgery. Those conditions, but not the position of the uterus itself, can reduce fertility in some cases. A tipped uterus will usually move to the middle of the pelvis during the 10th to 12th week of
449:
Using laparoscopic (‘keyhole’) surgery techniques, a doctor can reposition the uterus so that it sits over the bladder - the procedure is relatively straightforward and usually successful. In some instances, a hysterectomy (the surgical removal of the uterus) may be considered.
399:") includes manual anteversion of the uterus, and usually requires intermittent or continuous catheter drainage of the bladder until the problem is rectified or spontaneously resolves by the natural enlargement of the uterus, which brings it out of the tipped position.
426:
are also tilted, and dyspareunia can occur, where the head of the penis may impact or butt these parts during intercourse. Being positioned on top can be more painful. Vigorous sex can sometimes cause ligaments in or around the uterus to tear or be injured.
445:
A pessary - which is a small plastic or silicone device can be placed either temporarily or permanently to prop the uterus forward. Pessaries are linked with increased risk of infection and inflammation and may cause discomfort during intercourse.
720:
697:
315:
In most cases, a retroverted uterus is a normal variation present from birth. As a woman matures, the uterus generally moves into a forward tilt, however in some cases the uterus remains in the same position angled backwards.
774:
224:. Generally, a retroverted uterus does not cause any problems, nor does it interfere with pregnancy or fertility. Most people with retroverted uteruses will not know they have the condition.
1586:
767:
395:
Rarely (1 in 3,000 to 8,000 pregnancies), a retroverted uterus will cause painful and difficult urination and can cause severe urinary retention. Treatment for this condition (called "
39:
760:
418:
Most people will not know that they have a retroverted uterus, however it can sometimes affect sexual intercourse. Considering the angle of the uterus, the
333:
can sometimes overstretch the ligaments that hold the uterus in place and allow it to tip backwards, however it does tend to return to its original shape.
212:
that is oriented posteriorly, towards the rectum in the back of the body. This is in contrast to the typical uterus, which is oriented forward (slightly "
572:
Anatomic and
Functional Changes of the Lower Urinary Tract During Pregnancy. Urologic Clinics of North America - Volume 34, Issue 1 (February 2007)
402:
In addition to manual anteversion and bladder drainage, treatment of urinary retention due to a retroverted uterus can require the use of a
170:, and the uterus normally extends superiorly from it, but the direction of the body of the fetus reveals that the uterus extends backwards.
669:
220:, with the anterior part slightly concave. Between one in three to one in five uteruses is retroverted, or oriented backwards towards the
1561:
539:
512:
1205:
1375:
894:
274:"anteflexed": the fundus (deepest part of uterus) is pointing forward relative to the cervix. Anterior aspect of uterus is concave.
100:
72:
989:
525:
79:
632:
607:
582:
467:
47:
1502:
86:
1497:
1230:
927:
58:
43:
1546:
1115:
442:
If the retroverted uterus is caused by underlying conditions like endometriosis, hormone therapy can be offered.
348:(scar tissue) can be caused by surgery in the pelvic area which can pull the uterus into a retroverted position.
882:
735:
323:
can cause the retroversion by 'gluing' the uterus to other pelvic structures or attach itself to other organs.
68:
1430:
1380:
1336:
994:
435:
Treatment options are rarely needed, but if they cause problems some options for a solution can be offered.
159:
1408:
984:
823:
783:
238:
1413:
1267:
1210:
1135:
1073:
934:
553:
1425:
850:
513:
https://www.issm.info/sexual-health-qa/what-is-a-tilted-uterus-how-might-it-affect-a-woman-sexually/
1536:
1475:
1331:
724:
396:
345:
150:
1403:
1360:
1326:
1225:
1130:
1080:
1063:
1031:
1021:
922:
877:
833:
828:
368:
357:
93:
232:
The following table distinguishes among some of the terms used for the position of the uterus:
1418:
1316:
999:
887:
175:
752:
1541:
1470:
1272:
1100:
867:
806:
221:
1348:
1291:
1200:
1164:
1105:
1046:
904:
815:
324:
303:
217:
167:
17:
1523:
1385:
1277:
1237:
1215:
1051:
914:
899:
843:
423:
729:
277:"retroflexed": the fundus is pointing backwards. Anterior aspect of uterus is convex.
1580:
1531:
1056:
1041:
1004:
939:
857:
320:
1450:
1303:
1182:
1090:
1068:
1009:
944:
872:
787:
376:
372:
242:
Left: Anteverted, the most common position; Middle: Retroverted; Right: Retroflexed
664:
319:
Some other conditions and gynaecological diseases can cause a retroverted uterus.
740:
1455:
1370:
1343:
1307:
1253:
1174:
1159:
1085:
972:
949:
838:
659:
558:
364:
363:
It usually does not pose any medical problems, though it can be associated with
213:
180:
1556:
1440:
1390:
1312:
1220:
1151:
1036:
862:
714:
710:
706:
674:
495:
1445:
1435:
1321:
791:
389:
334:
330:
1551:
1257:
338:
689:
290:
both the superior and inferior ends of the uterus are pushed posteriorly
403:
341:
57:
if you can. Unsourced or poorly sourced material may be challenged and
583:"Dyspareunia (Painful Intercourse): Causes, Diagnosis & Treatment"
540:"What is a tilted uterus how might it affect a woman sexually? - ISSM"
406:, or even surgery. If a uterus does not reposition, it may be labeled
1192:
963:
701:
209:
163:
344:
levels decline and impact the surrounding uterine ligaments. Pelvic
419:
526:"Retroversion of the uterus Information | Mount Sinai - New York"
235:
A retroverted uterus should be distinguished from the following:
756:
22:
337:
equally affect these ligaments - when menstrual cycles stop,
554:"Tilted uterus: Can it lead to infertility? - Mayo Clinic"
190:
Exercise. Vaginal pessary. Manual repositioning. Surgery.
356:
A retroverted uterus is usually noted during a routine
54:
679:
1522:
1515:
1490:
1357:
1290:
1246:
1191:
1173:
1150:
1018:
971:
962:
913:
814:
805:
798:
683:
186:
174:
162:showing a retroverted uterus during pregnancy. The
140:
135:
1587:Noninflammatory disorders of female genital tract
296:a pronounced forward bend in an anteflexed uterus
53:Please review the contents of the article and
768:
8:
631:Services, Department of Health & Human.
606:Services, Department of Health & Human.
466:Services, Department of Health & Human.
496:http://www.womens-health.co.uk/retrover.asp
1519:
1296:
977:
968:
811:
802:
775:
761:
753:
680:
149:
132:
509:International Society for Sexual Medicine
245:
237:
458:
327:can cause the uterus to tip backwards.
7:
1562:Persistent genital arousal disorder
306:(top of the uterus) is straight up
266:"retroverted": oriented backwards
14:
1376:Hypoactive sexual desire disorder
895:Ovarian hyperstimulation syndrome
360:or with an internal ultrasound.
119:
27:
990:Dysfunctional uterine bleeding
675:Diagram at womens-health.co.uk
494:, 2009, Web. 5 Mar. 2010. <
263:"anteverted": oriented forward
55:add the appropriate references
1:
1086:Menorrhagia (hypermenorrhea)
1057:Polymenorrhea (epimenorrhea)
1503:Pelvic inflammatory disease
637:www.betterhealth.vic.gov.au
612:www.betterhealth.vic.gov.au
472:www.betterhealth.vic.gov.au
294:severely anteflexed uterus:
40:reliable medical references
1603:
1498:Pelvic congestion syndrome
928:Fallopian tube obstruction
670:Overview at mayoclinic.com
507:"What is a Tilted Uterus"
283:Additional terms include:
15:
1547:Vestibular papillomatosis
1466:
1399:
1299:
1126:
1116:Metropathia haemorrhagica
980:
157:
148:
46:or relies too heavily on
883:Follicular cyst of ovary
660:MedlinePlus Encyclopedia
166:lies posteriorly to the
16:Not to be confused with
1381:Sexual arousal disorder
1337:Candidal vulvovaginitis
995:Endometrial hyperplasia
383:Fertility and pregnancy
160:transvaginal ultrasound
824:Endometriosis of ovary
439:tips backwards again.
243:
1268:Vesicouterine fistula
1211:Cervical incompetence
1136:Recurrent miscarriage
1074:Premenstrual syndrome
935:Fallopian tube cancer
490:"Retroverted Uterus"
241:
1426:Rectovaginal fistula
851:Poor ovarian reserve
633:"Retroverted uterus"
608:"Retroverted uterus"
468:"Retroverted uterus"
69:"Retroverted uterus"
1476:Postcoital bleeding
1404:Urogenital fistulas
1332:Bacterial vaginosis
985:Asherman's syndrome
397:incarcerated uterus
288:retrocessed uterus:
1361:Sexual dysfunction
1327:Atrophic vaginitis
1263:Retroverted uterus
1226:Female infertility
1206:Cervical dysplasia
1131:Female infertility
923:Female infertility
878:Corpus luteum cyst
834:Ovulatory disorder
829:Female infertility
511:, 9 May. 2021.<
369:sexual intercourse
358:pelvic examination
271:Position of fundus
244:
198:retroverted uterus
136:Retroverted uterus
1574:
1573:
1570:
1569:
1511:
1510:
1486:
1485:
1419:Obstetric fistula
1317:Vaginal discharge
1286:
1285:
1231:Cervical stenosis
1146:
1145:
1000:Endometrial polyp
958:
957:
888:Theca lutein cyst
750:
749:
281:
280:
194:
193:
130:Medical condition
128:
127:
104:
1594:
1542:Kraurosis vulvae
1537:Bartholin's cyst
1520:
1471:Vaginal bleeding
1364:
1297:
1273:Uterine prolapse
1101:Menometrorrhagia
1025:
978:
969:
868:Ovarian apoplexy
812:
803:
777:
770:
763:
754:
681:
647:
646:
644:
643:
628:
622:
621:
619:
618:
603:
597:
596:
594:
593:
587:Cleveland Clinic
579:
573:
570:
564:
563:
550:
544:
543:
536:
530:
529:
522:
516:
505:
499:
488:
482:
481:
479:
478:
463:
325:Uterine fibroids
300:vertical uterus:
260:Position overall
246:
153:
133:
123:
122:
114:
111:
105:
103:
62:
31:
30:
23:
1602:
1601:
1597:
1596:
1595:
1593:
1592:
1591:
1577:
1576:
1575:
1566:
1507:
1482:
1462:
1395:
1358:
1353:
1349:Vaginal atresia
1282:
1242:
1201:Cervical cancer
1187:
1169:
1165:Uterine fibroid
1142:
1122:
1106:Polymenorrhagia
1047:Oligoamenorrhea
1019:
1014:
954:
909:
905:Ovarian torsion
794:
784:Female diseases
781:
751:
746:
745:
692:
655:
650:
641:
639:
630:
629:
625:
616:
614:
605:
604:
600:
591:
589:
581:
580:
576:
571:
567:
552:
551:
547:
538:
537:
533:
524:
523:
519:
506:
502:
489:
485:
476:
474:
465:
464:
460:
456:
433:
424:fallopian tubes
416:
385:
354:
313:
230:
168:urinary bladder
131:
124:
120:
115:
109:
106:
63:
52:
48:primary sources
32:
28:
21:
18:inverted uterus
12:
11:
5:
1600:
1598:
1590:
1589:
1579:
1578:
1572:
1571:
1568:
1567:
1565:
1564:
1559:
1554:
1549:
1544:
1539:
1534:
1528:
1526:
1517:
1513:
1512:
1509:
1508:
1506:
1505:
1500:
1494:
1492:
1488:
1487:
1484:
1483:
1481:
1480:
1479:
1478:
1467:
1464:
1463:
1461:
1460:
1459:
1458:
1453:
1448:
1443:
1438:
1428:
1423:
1422:
1421:
1416:
1411:
1409:Ureterovaginal
1400:
1397:
1396:
1394:
1393:
1388:
1386:Vaginal cancer
1383:
1378:
1373:
1367:
1365:
1355:
1354:
1352:
1351:
1346:
1341:
1340:
1339:
1334:
1329:
1319:
1310:
1300:
1294:
1288:
1287:
1284:
1283:
1281:
1280:
1278:Uterine cancer
1275:
1270:
1265:
1260:
1250:
1248:
1244:
1243:
1241:
1240:
1238:Nabothian cyst
1235:
1234:
1233:
1223:
1218:
1216:Cervical polyp
1213:
1208:
1203:
1197:
1195:
1189:
1188:
1186:
1185:
1179:
1177:
1171:
1170:
1168:
1167:
1162:
1156:
1154:
1148:
1147:
1144:
1143:
1141:
1140:
1139:
1138:
1127:
1124:
1123:
1121:
1120:
1119:
1118:
1110:
1109:
1108:
1103:
1095:
1094:
1093:
1088:
1078:
1077:
1076:
1071:
1061:
1060:
1059:
1054:
1052:Oligomenorrhea
1049:
1044:
1039:
1028:
1026:
1016:
1015:
1013:
1012:
1007:
1002:
997:
992:
987:
981:
975:
966:
960:
959:
956:
955:
953:
952:
947:
942:
937:
932:
931:
930:
919:
917:
915:Fallopian tube
911:
910:
908:
907:
902:
900:Ovarian cancer
897:
892:
891:
890:
885:
880:
870:
865:
860:
855:
854:
853:
848:
847:
846:
844:Oligoovulation
841:
826:
820:
818:
809:
800:
796:
795:
782:
780:
779:
772:
765:
757:
748:
747:
744:
743:
732:
717:
693:
688:
687:
685:
684:Classification
678:
677:
672:
667:
654:
653:External links
651:
649:
648:
623:
598:
574:
565:
545:
531:
517:
500:
492:Women's Health
483:
457:
455:
452:
432:
429:
415:
412:
384:
381:
353:
350:
312:
309:
308:
307:
297:
291:
279:
278:
275:
272:
268:
267:
264:
261:
257:
256:
253:
250:
229:
226:
216:") toward the
192:
191:
188:
184:
183:
178:
172:
171:
155:
154:
146:
145:
142:
138:
137:
129:
126:
125:
118:
116:
110:September 2024
35:
33:
26:
13:
10:
9:
6:
4:
3:
2:
1599:
1588:
1585:
1584:
1582:
1563:
1560:
1558:
1555:
1553:
1550:
1548:
1545:
1543:
1540:
1538:
1535:
1533:
1532:Vulvar cancer
1530:
1529:
1527:
1525:
1521:
1518:
1514:
1504:
1501:
1499:
1496:
1495:
1493:
1489:
1477:
1474:
1473:
1472:
1469:
1468:
1465:
1457:
1454:
1452:
1449:
1447:
1444:
1442:
1439:
1437:
1434:
1433:
1432:
1429:
1427:
1424:
1420:
1417:
1415:
1414:Vesicovaginal
1412:
1410:
1407:
1406:
1405:
1402:
1401:
1398:
1392:
1389:
1387:
1384:
1382:
1379:
1377:
1374:
1372:
1369:
1368:
1366:
1363:
1362:
1356:
1350:
1347:
1345:
1342:
1338:
1335:
1333:
1330:
1328:
1325:
1324:
1323:
1320:
1318:
1314:
1311:
1309:
1305:
1302:
1301:
1298:
1295:
1293:
1289:
1279:
1276:
1274:
1271:
1269:
1266:
1264:
1261:
1259:
1255:
1252:
1251:
1249:
1245:
1239:
1236:
1232:
1229:
1228:
1227:
1224:
1222:
1219:
1217:
1214:
1212:
1209:
1207:
1204:
1202:
1199:
1198:
1196:
1194:
1190:
1184:
1181:
1180:
1178:
1176:
1172:
1166:
1163:
1161:
1158:
1157:
1155:
1153:
1149:
1137:
1134:
1133:
1132:
1129:
1128:
1125:
1117:
1114:
1113:
1111:
1107:
1104:
1102:
1099:
1098:
1096:
1092:
1089:
1087:
1084:
1083:
1082:
1079:
1075:
1072:
1070:
1067:
1066:
1065:
1062:
1058:
1055:
1053:
1050:
1048:
1045:
1043:
1042:Hypomenorrhea
1040:
1038:
1035:
1034:
1033:
1030:
1029:
1027:
1024:
1023:
1017:
1011:
1008:
1006:
1005:Endometriosis
1003:
1001:
998:
996:
993:
991:
988:
986:
983:
982:
979:
976:
974:
970:
967:
965:
961:
951:
948:
946:
943:
941:
940:Hematosalpinx
938:
936:
933:
929:
926:
925:
924:
921:
920:
918:
916:
912:
906:
903:
901:
898:
896:
893:
889:
886:
884:
881:
879:
876:
875:
874:
871:
869:
866:
864:
861:
859:
858:Mittelschmerz
856:
852:
849:
845:
842:
840:
837:
836:
835:
832:
831:
830:
827:
825:
822:
821:
819:
817:
813:
810:
808:
804:
801:
797:
793:
789:
785:
778:
773:
771:
766:
764:
759:
758:
755:
742:
738:
737:
733:
731:
727:
726:
722:
718:
716:
712:
708:
704:
703:
699:
695:
694:
691:
686:
682:
676:
673:
671:
668:
666:
662:
661:
657:
656:
652:
638:
634:
627:
624:
613:
609:
602:
599:
588:
584:
578:
575:
569:
566:
561:
560:
555:
549:
546:
541:
535:
532:
527:
521:
518:
514:
510:
504:
501:
497:
493:
487:
484:
473:
469:
462:
459:
453:
451:
447:
443:
440:
436:
430:
428:
425:
421:
414:Sexual impact
413:
411:
409:
405:
400:
398:
393:
391:
382:
380:
378:
375:(pain during
374:
370:
367:(pain during
366:
361:
359:
351:
349:
347:
343:
340:
336:
332:
328:
326:
322:
321:Endometriosis
317:
310:
305:
301:
298:
295:
292:
289:
286:
285:
284:
276:
273:
270:
269:
265:
262:
259:
258:
254:
251:
248:
247:
240:
236:
233:
228:Related terms
227:
225:
223:
219:
215:
211:
207:
206:tipped uterus
203:
202:tilted uterus
199:
189:
185:
182:
179:
177:
173:
169:
165:
161:
156:
152:
147:
144:Tipped uterus
143:
139:
134:
117:
113:
102:
99:
95:
92:
88:
85:
81:
78:
74:
71: –
70:
66:
65:Find sources:
60:
56:
50:
49:
45:
41:
36:This article
34:
25:
24:
19:
1451:Sigmoidocele
1359:
1304:Hematocolpos
1262:
1183:Parametritis
1091:Metrorrhagia
1069:Dysmenorrhea
1022:Menstruation
1020:
1010:Endometritis
945:Hydrosalpinx
873:Ovarian cyst
734:
719:
696:
658:
640:. Retrieved
636:
626:
615:. Retrieved
611:
601:
590:. Retrieved
586:
577:
568:
557:
548:
534:
520:
508:
503:
491:
486:
475:. Retrieved
471:
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377:menstruation
373:dysmenorrhea
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255:Less common
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44:verification
37:
1456:Urethrocele
1371:Dyspareunia
1344:Hydrocolpos
1308:Hydrocolpos
1254:Hematometra
1175:Parametrium
1160:Adenomyosis
973:Endometrium
950:Salpingitis
839:Anovulation
559:Mayo Clinic
365:dyspareunia
252:More common
249:Distinction
181:Gynaecology
141:Other names
38:needs more
1557:Vulvodynia
1441:Enterocele
1391:Vaginismus
1313:Leukorrhea
1221:Cervicitis
1152:Myometrium
1037:Amenorrhea
863:Oophoritis
642:2023-11-22
617:2023-11-22
592:2023-11-22
477:2023-11-22
454:References
408:persistent
214:anteverted
80:newspapers
1446:Rectocele
1436:Cystocele
1322:Vaginitis
431:Treatment
390:pregnancy
352:Diagnosis
346:adhesions
335:Menopause
331:Pregnancy
187:Treatment
176:Specialty
1581:Category
1552:Vulvitis
1516:External
1431:Prolapse
1258:Pyometra
799:Internal
792:genitals
422:and the
339:estrogen
1247:General
786:of the
741:D019687
420:ovaries
404:pessary
342:hormone
218:bladder
208:) is a
94:scholar
59:removed
1292:Vagina
1193:Cervix
1112:Other
1097:Mixed
1081:Timing
964:Uterus
807:Adnexa
788:pelvis
665:001506
371:) and
311:Causes
304:fundus
210:uterus
164:cervix
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67:
1524:Vulva
1491:Other
816:Ovary
730:621.6
715:O65.5
711:O34.5
707:N85.4
222:spine
101:JSTOR
87:books
1064:Pain
1032:Flow
790:and
736:MeSH
725:9-CM
515:>
498:>
302:the
73:news
42:for
721:ICD
698:ICD
379:).
196:A
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