How does a Tilted Uterus affect Fertility?

By  ,  Onlymyhealth editorial team
Jul 01, 2011

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Also known as retroverted uterus, tilted uterus is a physical condition when the uterus of a woman is tilted backwards rather than forward. In this condition, the uterus is more towards the spine than towards the bladder which happens in case of an extroverted uterus. A tilted uterus is rarely a medical condition and is usually genetic. Uterine position is affected by conditions such as fibroids, pelvic inflammatory disease, and labour during childbirth and endometriosis.


Does a Tilted Uterus affect Fertility?

  • Quite simply a tilted uterus has no affect on pregnancy.
  • The positioning of your uterus does not have anything to do with your chances of getting pregnant or being fertile.
  • Fertility is based on your ability to ovulate and on the quality of sperm and time of sexual intercourse.
  • The major problem that a tilted uterus can cause is pain during sexual intercourse.
  • If such is the case, then your doctor can treat it through various means such as surgery, manual repositioning and also by inserting a pessary in order to support the uterus.

However, sometimes a tilted uterus may signify an underlying health condition.

  • Endometriosis affects fertility by changing the position of the fallopian tubes and ovary.
  • This makes it difficult for the egg to travel to the uterus for reproduction.
  • It can also scar the pelvis and that might affect the chances of a woman trying to get pregnant.

Endometriosis can be treated with pain medication. Surgery is also an option for treating endometriosis via methods such as laparoscopy and laparotomy. With these procedures the endometrial tissue is either burnt away or vaporised. This aids fertility and the woman’s chances of conceiving.

  • Pelvic inflammatory disease is an infection that can happen in the uterus, ovary or fallopian tubes. It affects sexually active women during their childbearing years.
  • This infection can scar the fallopian tube, causing blockage and in some cases infertility.
  • However, pelvic inflammatory disease can be treated successfully with antibiotics that can be taken orally or intravenously.
  • Surgery is another option for treating pelvic inflammatory disease, in case the antibiotics do not work properly.

A tilted uterus has no effect on fertility. An underlying medical concern with a tilted uterus can pose some threat to fertility. However, these conditions can be easily treated.



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