When the uterus tilts backward instead of forward, it is called retroverted uterus or tipped uterus. Although it is a common anatomical variation that does not always cause symptoms or complications, it can sometimes lead to discomfort or reproductive problems. This article examines the causes, symptoms, diagnosis, treatment, and prevention of retroversion of the uterus.
In retroversion of the uterus, several factors may contribute to its development, including:
A retroverted uterus may be inherited by some women.
It is possible for the uterus to be retroverted during pregnancy, and it may remain that way after childbirth in some cases.
Scar tissue or adhesions in the pelvis, often caused by previous surgeries or pelvic inflammatory disease, can cause the uterus to be retroverted.
Weakness or laxity of the pelvic floor muscles or ligaments can cause pelvic organs, including the uterus, to prolapse.
In many cases, retroversion of the uterus does not cause symptoms. However, some women may experience:
The retroverted position of the uterus may cause lower back pain or discomfort.
Some women may experience discomfort or pain during sexual intercourse, especially in certain positions.
Some women with a retroverted uterus may have difficulty inserting tampons.
In rare cases, a retroverted uterus may press on the bladder, causing frequent urination.
Retroversion of the uterus is typically diagnosed by a pelvic examination performed by a healthcare provider. Diagnostic procedures may include:
Your healthcare provider will manually palpate the pelvic organs to determine the uterus' size, shape, and location.
A pelvic ultrasound can be used to visualize the uterus and confirm its retroverted position, especially if there are concerns about other pelvic abnormalities.
Retroversion of the uterus should only be treated if symptoms are present or if complications are occurring. Treatment options may include:
In most cases, there is no need for treatment, and a retroverted uterus is not dangerous.
Strengthening the pelvic floor muscles through exercises, such as Kegels, may help support the uterus and relieve symptoms.
A healthcare provider may manually manipulate the uterus forward during a pelvic examination.
Some women with symptomatic retroversion of the uterus may benefit from a pessary, a small device inserted into the vagina to hold the uterus forward.
If conservative measures fail, surgery may be recommended to reposition or correct the position of the uterus.
It may not always be possible to prevent the uterus from retroverting, as it can be a normal anatomical variation. It may be possible to reduce the risk of developing a retroverted uterus by maintaining pelvic health and avoiding factors that increase the risk of pelvic adhesions and prolapse.
