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Is Your Tilted Uterus Keeping you from Getting Pregnant?

Is Your Tilted Uterus Keeping you from Getting Pregnant?

The direction of your uterus has probably never crossed your mind, unless you are one of the millions of women who are trying to get pregnant and failing month after month. While the condition of having tilted uterus is not in itself problematic, it can be a symptom of other pelvic issues or just an obstacle to conception. Doctors generally use the term retroversion of the uterus, retroverted uterus, or malposition to describe this condition which affects about 20% of all women.

A tilted uterus can be caused by other conditions, which in themselves, can be barriers to fertility. Some of these are pelvic inflammatory disease, endometriosis or even pelvic surgery. The condition also seems to occur more frequently in women who are older or who have had children already. This makes it a possibility for women who are experiencing secondary unexplained infertility, which is the inability to conceive again after having children already.

Whatever the underlying cause, a tilted uterus might be one of the factors that is keeping you from getting pregnant. Some of the symptoms would be:

  • Pelvic pain
  • Pain during intercourse
  • Minor incontinence
  • Fertility issues

In some rare cases, doctors will perform surgery to return the uterus to its normal position, but this is not done very often because the condition can reverse itself or it doesn’t cause problems for the person who has it.
Your doctor can diagnose you with a tilted uterus during a pelvic exam and may follow up with an ultrasound imaging session to make sure that you actually have the condition and not something different.

Fibroid uterine cysts can mimic the feel of a tilted uterus during manual examination in your health care provider’s office. Once you know what you are dealing with, it will be easier to get started with a course of natural treatment that can help you overcome the fertility barrier that a tilted uterus can create.

Solutions for Tilted Uterus

A tilted uterus is a physical barrier to pregnancy and may or may not be accompanied by other problems that are keeping you from ultimately getting pregnant. There are actual things you can do to improve your fertility and increase your chances of achieving pregnancy and ultimately becoming a parent. The best solutions for this particular condition because of its nature are self fertility massage and yoga.

Self Fertility Massage
The other solution for a mispositioned uterus that may be hindering fertility is Self Fertility Massage. These massage techniques focus on the lower pelvic region and uterus, helping to remove blockages in the area so that your body is more balanced and working better. A tilted uterus may be compressed by impacted intestines, which can cut off important circulation to the uterus. The targeted massage techniques in Self Fertility Massage help restore the uterus to health.

If the cause of your tilted uterus has been endometriosis, massage is invaluable for breaking up endometrial tissue and for ridding the body of residual menstrual clots and blood that may have been unable to be flushed away during regular cycles. With regular practice of Self Fertility Massage techniques, your reproductive system will be in better balance and your cycles and ovulation will improve.

Some other body therapies to consider if they are available near you are:

  • Mayan Abdominal Massage
  • Pelvic floor physical therapy

Fertility Yoga
You might be wondering what yoga has to do with your uterus, because you may have only considered its health benefits in relaxation and increased flexibility. But yoga has been used to treat conditions of the body for centuries and a fertility-focused yoga practice might be just what you need to unlock your own fertility.
Specific moves and poses work together to unblock the reproductive areas of your body, get your hormones in balance, and increase blood flow to the uterus. All of these together can help your body repair itself.
The relaxing effects of fertility yoga are also important to the process of restoring natural fertility. Couples who are struggling with infertility are under constant stress and it can be especially tough on your partner who is dealing with both his or her own disappointment and yours. Yoga practice is something that couples can engage in together and enjoy the benefits that will naturally flow from the practice.

While modern medicine continues to look for chemical and surgical cures for every type of fertility issue, there are natural non-invasive options for all the problems that fertility causes for women and their partners who are going through the journey with them. In addition to the above suggestions you may also want to improve the health of your uterus and whole body in preparation for conception. We are glad you are exploring natural therapies and learning to work with your bodies amazing healing abilities.


Hethir Rodriguez - Certified Herbalist, Nutritionist, Birth Doula

Hethir Rodriguez is the Founder and President of Natural Fertility She has been a Certified Herbalist for over 19 years, holds a Bachelors degree (BS) in Nutrition Sciences and is a Certified Birth Doula and Massage Therapist specializing in fertility massage. Since founding Natural Fertility in 2007, Hethir’s research, articles, and guides have been read by over 40,000,000 people, currently averaging at over 1,000,000+ readers per month.  Hethir has dedicated her life to helping provide a source for high quality, research based information and support for those on their journey to becoming parents.

Dr. Christine Traxler M.D., OB/GYN
Dr. Christine Traxler M.D., OB/GYN

Dr. Traxler is a University-trained obstetrician/gynecologist, working with patients in Minnesota for over 20 years. She is a professional medical writer; having authored multiple books on pregnancy and childbirth; textbooks and coursework for medical students and other healthcare providers; and has written over 1000 articles on medical, health, and wellness topics.  Dr. Traxler attended the University of Minnesota College of Biological Sciences and University of Minnesota Medical School,  earning a degree in biochemistry with summa cum laude honors in 1981,  and receiving her Medical Doctorate degree (MD) in 1986.

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  1. Hello how are you, i just got a transvaginal ultrasound done today morning and the ultrasoundists told me i have a retroversed uterus facing my back instead of my stomach. i would like to know if i can still have babies and concieve i am extra worried please thanks

    • Dear Claudia,

      This is a great question to ask of your doctor when you talk about the scan results. Often women with a retroverted uterus can conceive and carry healthy pregnancies.

  2. During my HSG my doctor had difficulty getting through the cervix to the uterus because she said my uterus is tilted to the right. Would this cause difficulty for sperm to get to the uterus as well? So far in all the testing there are no blockages or abnormal labs, and my husbands semen analysis showed he had 297 million sperm!!

    • Dear Rebecca,

      With adequate cervical fluid (mucous) sperm should be able to travel to fertilize and egg. This being said, depending on how tilted the uterus is, it could I suppose hinder sperm travel. Consider asking your healthcare provider this and then revisiting the suggestions in this article.

      Another natural therapy to learn about is the Mercier Therapy.

  3. Hi! I recently went in for a pap smear test at the doctor and the nurse struggled to find my cervix at first. After this I had an appointment to have a HSG performed and again the doctor had difficulty finding my cervix, but did in the end. My question is, would this be causing difficulty in conceiving? Is there anything I can do to conceive easier?

    Thank you!

    • Dear Sarah,

      This may depend on why the cervix was not easily found during these procedures. What is causing it to be hard to find? Consider asking this of your doctor. As you have read in this article, there are natural ways to support proper uterine placement if a tilted uterus is the culprit.

      I hope you are able to learn why this happened.

  4. Hi, I have been told I have a tilted uterus. I’m 27 and had a miscarriage last year at 10wks. I had a couple of ultrasounds early on and they had trouble getting good views of my baby, even though I ended up losing it. My question is… is it worth getting ultrasounds early on with a tilted uterus because it caused me quite a lot of stress by the sonographers not being able to see my womb properly. I also have mild endometriosis. Is this likely to affect my ability to conceive in the future? Thank you

    • Dear Alison,

      I am sorry for your loss and for the stress the ultrasound experience caused.

      Honestly, I can not weigh the need for ultrasound versus the stress of the experience. This is going to best evaluated pregnancy to pregnancy and with the guidance of your healthcare provider.

      The positive sign is that conception occurred. Was your titled uterus deemed the cause of the miscarriage? Knowing this may help you understand if it should be a concern in the future. The hormone imbalance that accompanies endometriosis and contributes it’s growth may effect conception efforts however.

      Consider taking time to learn how to support the body’s natural ability to remove excess estrogen from the body, in maintaining its natural inflammatory response, providing it relief from occasional discomfort in the reproductive system and encouraging normal circulation, helping to bring fresh blood and oxygen to the reproductive system.

      All my best!

  5. I was recently diagnosed with a tilted uterus and a short luteal phase…my obgyn doctor prescribed provera to take on day 14 …but I am concerned seeing how I was on the implanon a progestron birthcontrol for four years…if I take this too soon I understand I will not ovulate…my ovulation days or later than the norm…and I am really concerned about this. I have also started taking a prenatal vitamin to help and was wandering what else might be available to take with the provera..a natural substance.

    • Elizabeth Willett, MA, CH

      Dear Fallon,

      I am sorry you are concerned and please share these concerns with your doctor. If you are currently already on fertility medications you should not combine herbs with your medications. Herbs that act on the hormonal system could affect how your medications are working. It is best to only use herbs in preparation beforehand and not mix the two.

      Take time to consider the non-herbal suggestions made for supporting healthy luteal phase length, as well as Self Fertility Massage.

      Best wishes!

  6. NIce Topic! Please is it the same condition responsible for the inability of sperm to enter the uterus after intercourse… when the woman gets up the sperm comes out of the vagina without entering the Uterus.

    • Elizabeth Willett, MA, CH

      Dear Bamidele,

      It is normal for some amount of a man’s seminal fluid (semen) to come out of the vagina after sexual intercourse. This is not considered a “condition” or cause for concern. Semen is the fluid that carries the sperm and is ejaculated during orgasm by the male partner. It is not necessary for the all of the seminal fluid to remain inside the vagina after intercourse. Once the the semen is inside of the vagina, the sperm swim toward the opening of the cervix and make their way to the awaiting ovum (egg) for fertilization. What remains is the seminal fluid (semen), not the sperm. It only takes one sperm to fertilize the ovum. Please rest assured that the sperm are getting where they need to go, regardless if you have seminal fluid leakage after intercourse.

  7. Update 2014 – We are back! We have been away for a while and we sure have missed all of your wonderful questions and thoughts on our articles. Moving forward, one of our staff herbalists will be here to respond to comments! We look forward to connecting with our readers once again!

  8. My diagnose does not show tilted uterus. I was treated for pid but still not pregnant

    • Hi Bakwn,

      You may want to learn more about the remedies for Blocked Fallopian Tubes, this is because they are also very helpful for women with Pelvic Inflammatory Disease!

      Best Wishes,


    • Hi, was intrested in reading your writtings and thought of putting through a question regading my situation. I’m married for two years and few months and still trying for a baby, my condition is that i have been continuously bleed after i got married, which normally takes 2 to 3 weeks for my period to flow, i have been to doctors many times and been a given those hormonial tablets to balance hormones. After taking those my periods went back to bleeding im wondering what happened whether its someting to do with tilt uterus postion.

    • Dear Seri,

      Thank you for asking your question and reaching out to us!

      Rather than uterine position, prolonged menstrual bleeding is more likely a result of hormonal imbalance or nutrient deficiencies. Our Natural Guide for Menstrual Health will share more about this and offer suggestions for herbs, nutritional supplements and natural therapies that may be helpful.