The uterus is the hollow, pear shaped, organ that is home to your developing fetus. The uterus is normally in a straight vertical position. Some women have a tipped or tilted uterus, in which the uterus is tipped backwards toward the back of the pelvis.
A tipped uterus may occur for several reasons including:
Some women do not experience any symptoms. However, the primary symptoms of a tipped uterus are:
Other symptoms may include:
Your physician can perform a simple physical exam to determine if you have a tipped uterus. This can be done during a routine pelvic exam. If you suspect that you have a tipped uterus, discuss it with your physician.
There are many alternate ways of referring to a tipped uterus. However, all of the terms mean that the uterus is tipped backwards toward the back of the pelvis.
Common terms include:
Medical professionals may use the following terms:
If you have a tipped uterus and are experiencing symptoms, your physician may recommend surgery to reposition the uterus. A uterine suspension can typically reduce the pain experienced during intercourse and/or menstruation. This surgical procedure is used to reposition a tipped uterus from its backward facing position to a forward facing position. The UPLIFT procedure is a newer and improved method of performing a uterine suspension. It has been proven to have fewer postoperative complications than other uterine suspension procedures. Uterine repositioning provides lasting pain relief in most cases of painful sex and in some cases of painful menstruation.
A tipped uterus can also be repositioned by:
Typically a tipped uterus is only thought to be the cause of infertility after all other possible reasons for fertility problems have been ruled out. Your doctor might recommend a uterine suspension or UPLIFT procedure if there is no other explanation for your fertility problems. However, this is not common.
Usually between the 10th -12th week of pregnancy, your uterus will no longer be tipped or "backwards." This should cause no difficulty for the pregnancy or for labor and birth. If the uterus does not move into a "middle" position, miscarriage can occur but this very rare.