Retroverted Uterus
A retroverted uterus—also called a tilted or tipped uterus—is a normal anatomical variation in which the uterus tilts backward toward the spine instead of forward toward the bladder. It is common, harmless, and usually discovered incidentally during imaging or a pelvic exam. Most individuals have no symptoms, although some may experience pelvic pressure, discomfort during intercourse, or low back pain.
What is it?
A retroverted uterus refers to the position of the uterus being tilted backward rather than the more common forward tilt. This variation is usually present from birth but can also develop after childbirth, pelvic surgery, or conditions such as endometriosis or pelvic adhesions. A retroverted uterus does not affect fertility or pregnancy in most cases.
Ultrasound is typically used to assess uterine position and check for any associated conditions. MRI may provide additional detail if pelvic pain or other symptoms are present.
Important to Know
A retroverted uterus is considered a normal variation, not a disease. It rarely causes symptoms. When symptoms do occur, they may be related to underlying issues such as endometriosis, pelvic adhesions, or pelvic floor dysfunction rather than the uterine tilt itself.
Red flag symptoms include severe pelvic pain, heavy bleeding, fever, or pain that worsens suddenly. These are not caused by a retroverted uterus and require evaluation for other conditions.