The Tilted Uterus

A long post of all the info I've been learning!

TL;DR A tilted uterus is normal (~1 in 4 women), pretty much always ignored medically because most don't seem to have problems from it, but some people do and there's things you can do to make it better.

What is a tilted uterus?

Basically, all uteruses have a tilt to some degree. The uterus is mobile and can lie in all kinds of positions depending on the person. Even in the same person, the uterus will usually move around a bit depending on how you're moving, if you've used the bathroom lately or if you're turned on. If you aren't on hormonal birth control, it will also change positions throughout the month (it rises during ovulation, and drops during your period). Overtime, it can also change position as muscles and ligaments relax or weaken.

Usually when people say 'tilted' they mean a uterus and cervix that are angled towards your back or butt. There's a lot of terms for it: tipped, backwards, retroverted, retroflexed, retrocessed, retrodisplaced etc. It's also a very general term. For example, two people can have a retroverted uterus but one uterus might be almost pointing straight upwards while the other might be folded down on top of the rectum.

Getting more precise.

There's a really helpful video explaining this all, but it's a bit long so to summarize tilt and angle are based on two things: version and flexion. Version means the angle between the cervix and vagina, and flexion means the angle between the cervix and body of the uterus. Based on that, the postions are:

Version (which way the cervix is tilting towards)

  1. Anteversion: The cervix is angled towards the bladder (cervix opening points towards rectum).
  2. Midposition: The cervix is angled straight up.
  3. Retroversion: The cervix is angled towards the rectum (cervix opening points towards bladder).

Flexion (which way the uterus bends)

  1. Anteflexion: The body of the uterus bends towards the bladder.
  2. Midposition: Straight, no bend.
  3. Retroflexion: The body of the uterus bends towards the rectum.

Most version/flexion positions match up e.g. Antverted/Anteflexed, Retroverted/Retroflexed. But, sometimes the uterus will bend in the opposite direction of the cervix.

Your doctor can usually tell the version angle of your uterus through a manual exam. You mig

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