What Is a Tilted Uterus?

You may learn that you have a retroverted or tilted uterus during one of your prenatal appointments. According to Suzy Lipinski, M.D., a board-certified OBGYN and medical director at Obstetrix® of Colorado, part of Pediatrix Medical Group, a retroverted or tilted uterus tilts backward toward your spine, whereas most uteruses will point forward toward your stomach. “About 15 to 25 percent tip backward, which is like being left-handed—it isn’t wrong or bad, it’s just different,” said Dr. Lipinski. If you have a tilted uterus, it’s usually because you were born that way, though post-surgery adhesions or scar tissue, fibroids, endometriosis or pelvic infections can be contributing factors later in life. A tilted uterus typically won’t affect pregnancy. However, those with a more severe bend can become “stuck” under the sacrum, noted Dr. Lipinski. “A provider can press the uterus out from under the sacrum to free it—sometimes this has to be done under anesthesia.”

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