It is fascinating to discover that a retroverted uterus, a condition that affects a surprisingly high number of women, is often misunderstood. This article thoroughly discusses this anatomical phenomenon, its causes, its symptoms, and what is useful to know to live peacefully with it. So, strap in for the bus of knowledge, let’s go!
What is a retroverted uterus?
A retroverted uterus refers to a position of the uterus that is tilted backward instead of facing forward. In most cases, the uterus is located between the bladder and the rectum, but about 25% of women have this tilt, which is not considered a pathology. There are two types of retroversion: primary retroversion and secondary retroversion, the latter often being due to events like childbirth or certain medical conditions.
Causes of a retroverted uterus
The causes of a retroverted uterus vary depending on the type of retroversion. For primary retroversion, it is a natural development with no identified cause. In contrast, for secondary retroversion, several factors can contribute to this condition. Events like childbirth can lead to ligament laxity, while anomalies such as fibroids or endometriosis may also play a role. Pain during menstruation may also be linked to this phenomenon.
Associated symptoms

In most cases, a retroverted uterus does not present any specific symptoms. However, some women may experience pain in the lower abdomen during their periods, known as dysmenorrhea. Other signs may include pain during sexual intercourse, often referred to as dyspareunia, as well as difficulty urinating or gastrointestinal issues due to pressure exerted by the uterus on adjacent organs.
Diagnosing a retroverted uterus
The discovery of a retroverted uterus often occurs during a gynecological check-up or examinations such as an ultrasound or an MRI. No external signs allow for easy detection, making regular medical consultations crucial for reproductive health.
Consequences of a retroverted uterus
The consequences of this anomaly can vary. The use of an IUD remains possible, although its placement may be more complex. Sexual intercourse may sometimes be affected, causing pain depending on the position of the uterus during penetration. During pregnancy, a retroverted uterus generally poses no issues, although some women report discomfort.
Available treatments

As it is not a pathology, treatment for a retroverted uterus is rarely necessary unless there is discomfort. Exercises corresponding to pelvic contractions may be recommended after childbirth, while options like a pessary or surgical intervention may be considered if significant symptoms arise. The pessary, by repositioning the uterus, can provide significant relief.
Addressing concerns
In the face of a retroverted uterus, it is crucial to maintain a positive and informative approach. By taking the time to discuss concerns with a healthcare professional, it is possible to better manage this situation. The key lies in education and communication, as each case is unique and deserves appropriate attention.
Personal reflections
For those who have never faced difficulties, a retroverted uterus may seem like a simple medical term. In my journey, I have often encountered women facing similar diagnoses, and what struck me the most is their courage in the face of uncertainty. Having open discussions about these “taboo” questions helps break down stereotypes and understand that these anatomical variations are just that: variations. It reminds me of my own medical visits where I learned to discuss this topic without embarrassment. There you go, a little piece of me in this guide on what it really means to have a retroverted uterus.