A person can have a tilted uterus for several different reasons :. Anteversion of the uterus means that the uterus is tilted towards the front of the abdomen. Retroversion of the uterus means that the uterus is tipped backward.
This can sometimes cause problems for people who are pregnant. Many people are concerned that having a tipped uterus will impact their ability to get pregnant. The position of the uterus does not usually affect fertility, however. Doctors may consider it if a person is having difficulties becoming pregnant, but only after other causes of infertility are ruled out. In fact, being pregnant may cause the growing uterus to tip backward.
In most cases, there is no impact on labor or delivery. Painful sex can be a problem for a person with a tilted uterus. Doctors are unsure what causes this discomfort, though there are several theories:. Sometimes, simply changing positions can make painful sex less troublesome. It is important for people to communicate to their partner what is comfortable and what is not.
Some signs are typical in people with a tilted uterus, including :. A person may not realize that they have a tipped uterus. For others, the angle of the uterus can cause :. Your doctor can diagnose this condition with an ordinary pelvic exam.
During the exam, the doctor places two fingers inside your vagina and then presses gently on your abdomen to get an idea of the position of your uterus.
At one time, doctors believed that it would be harder to conceive if the angle of your cervix or uterus made it more difficult for a sperm to get to an egg. In very rare cases, approximately 1 in 3, pregnancies, a severely retroverted uterus can lead to a condition called uterine incarceration , which happens when internal scars from surgery or a medical condition bind the uterus to other parts of the pelvis.
These internal scars are called adhesions. As the uterus grows, the adhesions keep it from expanding upward, trapping it in the lower part of the pelvis. An incarcerated uterus can cause restricted growth, miscarriage, uterine rupture, or early delivery. The condition can also damage your kidneys or bladder. Your doctor can diagnose an incarcerated uterus with a pelvic exam, an ultrasound, or an MRI scan. Most of the time, uterine incarceration can be treated successfully. In some cases, laparoscopy or laparotomy will correct the condition.
Because a tilted uterus can change the angle of the cervix in the vagina, some women have pain during deep or energetic sex. A doctor can evaluate your situation and recommend treatment options that might work for you. A study measured the degree of flexion in women who had significant pain during periods and found that the more tilted the uterus was, the more painful their periods were.
Researchers think that when the uterus is sharply angled, it can close off the pathway of blood from the uterus to the cervix. Narrowing that passage may mean your body has to contract cramp harder to push out the menses.
However, there is a range of other causes that may give you this condition as well. These range from:. A common cause of this condition, scar tissue caused by endometriosis can push the uterus into a backward position, forcing it to stay there. PID also known as pelvic inflammatory disease is known to cause scarring if not treated correctly. If this is the case, this can cause a similar effect to that of Endometriosis, forcing your uterus to move to a backward position.
Those who have fibroids can suffer from the same problems as those above, with the condition creating a stuck or tipped uterus. Those who have had pregnancies in the past could also be negatively impacted.
As the ligaments to hold the uterus in the correct position could become overly stretched, this could cause a tipped uterus. Unless, there is another condition connected, such as endometriosis. If this happens, then the following problems may occur:. When the uterus is in this position, most will have their ovaries and fallopian tubes tipped towards the backward position as well.
Therefore, when engaging in intercourse, these sensitive features may be hit by the top of the penis. If performing the woman-on-top position, because of the adverse direction of the uterus, they will feel significant discomfort and pain. There is even the possibility of ligaments that surround the uterus becoming damaged when engaging in sexual intercourse in this position.
Those with a tipped uterus or tilted uterus may encounter many uncomfortable and painful side effects. A study conducted in , found that those with a tilted uterus suffered more than those without.
Scientists believe that when the uterus is at an angle, it closes off the flowing of blood from the uterus to the cervix, causing periods to be more painful.
But it can also occur as a result of: Adhesions. When a woman has pelvic or abdominal surgery, scar tissue called adhesions may form and pull the uterus back, impacting its position.
This condition occurs when cells from the endometrium — the uterine lining — are located outside the uterus. These cells can make the uterus attach to other organs. Uterine fibroids. These benign tumors can cause the uterus to tilt.
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