Retroversion of the uterus

Retroversion of the uterus is common. Approximately 1 in 5 women has this condition. The condition may also occur due to weakening of the pelvic ligaments at the time of menopause.

Scar tissue or adhesions in the pelvis can also hold the uterus in a retroverted position. Scarring may come from:

• Endometriosis
• Infection in the uterus or fallopian tubes
• Pelvic surgery

Retroversion of the uterus almost never causes any symptoms.

Rarely, it may cause pain or discomfort.

A pelvic exam will show the position of the uterus. However, a tipped uterus can sometimes be mistaken for a pelvic mass or a growing fibroid. A rectovaginal exam may be used to distinguish between a mass and a retroverted uterus.

An ultrasound exam can accurately determine the exact position of the uterus.

Treatment is not needed most of the time. Underlying disorders, such as endometriosis or adhesions, should be treated as needed.

In most cases, the condition does not cause problems.

In most cases, a retroverted uterus is a normal finding. However, in some cases it may be caused by endometriosis, salpingitis, or pressure from a growing tumor.

Contact your health care provider if you have ongoing pelvic pain or discomfort.

There is no way to prevent this condition. Early treatment of uterine infections or endometriosis may reduce the chances of a change in the position of the uterus.

Uterus retroversion; Malposition of the uterus; Tipped uterus; Tilted uterus

Advincula A, Truong M, Lobo RA. Endometriosis: etiology, pathology, diagnosis, management. In: Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. Comprehensive Gynecology. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 19.

Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Female genitalia. In: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Seidel's Guide to Physical Examination. 10th ed. St Louis, MO: Elsevier; 2023:chap 19.

Hertzberg BS, Middleton WD. Pelvis and uterus. In: Hertzberg BS, Middleton WD, eds. Ultrasound: The Requisites. 3rd ed. Philadelphia, PA: Elsevier; 2016:chap 23.

Updated by: John D. Jacobson, MD, Professor Emeritus, Department of Obstetrics and Gynecology, Loma Linda University School of Medicine, Loma Linda, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.