Uterus Position, Conception, and Pregnancy – All You Need to Know


If you are thinking of starting a family or adding to the one you already have, it is natural to have concerns about many things. If you are reading this, there is a good chance that you have either been diagnosed with a retroverted uterus or suspect that you may have one.

How Do I Know My Uterus Is Tilted?

First of all, it is important to know that you cannot diagnose yourself with a tilted uterus. Many of the symptoms that women with unusual uterus positions experience are also experienced by many other women, for many reasons.

Lower back pain, unusually painful periods and difficulty in passing urine can be caused by many other factors, and if you are experiencing any of them together or in isolation is it vital that you speak to a medical professional as soon as possible.

What if It Is Confirmed?

Picture showing tipped uterus
Source: https://hubpages.com

If, however, you have been diagnosed with a tilted uterus (this will usually involve an ultrasound scan), you may be experiencing some concern about whether it will affect your ability to conceive again, or for the first time.

The answer to the question depends on the reason for your uterus becoming tilted. In the majority of women who have the condition, it is genetic. If this is the case, then you have nothing to worry about; the position of your uterus will have absolutely no effect on your ability to conceive, the length and safety of your ensuing pregnancy, or the difficulty of your labor.

If you are having difficulty conceiving, and know that you have had a retroverted uterus since birth, you may wish to visit your doctor to ascertain that there is not another underlying cause.

What Can Cause a Retroverted Uterus?

If you have a tilted uterus that has been caused by fibroids, endometriosis or PID (Pelvic Inflammatory Disease), you may find it harder to conceive. This is not however due to uterus position. Each of these conditions has symptoms or causes that can affect fertility; a retroverted uterus may be one of the symptoms, but in and of itself it will not cause fertility issues.


Endometriosis (a condition which as many as five to ten percent of all women may have) is characterized by heavy, painful periods. It occurs when lining from the womb grows elsewhere around the reproductive system and abdomen (such as the ovaries). Although it can affect fertility, this is not set in stone; again, a medical opinion is essential before reaching conclusions.

Pelvic Inflammatory Disease

Orange watercolor of multiple pregnant woman

PID (Pelvic Inflammatory Disease) is an infection of the reproductive organs, which needs to be treated quickly with antibioticsas side effects can be severe and permanent. It can cause a tilted uterus, but again, this is not what causes delayed conception in this case – it is the PID itself. It is estimated that PID will cause fertility issues in one in five women who contract it.

Age and Multiple Births

One of the most common reasons for women to develop a retroverted uterus is due to age, or the fact that they have had several children. Again, the uterus position will have no bearing on your ability to conceive, but your age and general health most certainly will. If you have had several babies, or you are over 40, it is essential that you consult a medical professional prior to conception.   Although there is no reason why you should not be able to conceive and carry a baby, there are increased health risks associated with both, and your GP or OBSGYN should be able to advise you further.

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What Does All of This Mean?

Hands holding woman's uterus paintingIn simple terms, your uterus position has no bearing on your ability to conceive. The majority of women with this condition will never even know that they have it until they are already pregnant (it is most commonly diagnosed during the first ultrasound of pregnancy), meaning, of course, that they have had no difficulty in conceiving!

It is also important to remember that for most women, their tilted uterus resolves around the 12th week of pregnancy, meaning that in all likelihood, rather than the tilted uterus stopping you from getting pregnant, your pregnancy will effectively “cure” your condition!

What is important to note is whether or not your retroverted uterus has been caused by a previous health problem, which could cause fertility problems for you later on. If you have ever suffered from any of the conditions previously listed (endometriosis, PID, you are over 40 or have had multiple births), and you are experiencing delayed conception, you should visit an OBSGYN for an opinion.

However, it is highly likely that your uterus position is genetic and nothing to worry about and it will never affect your ability to conceive.


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