Tilted Womb (Retroverted Uterus) and Its Link to Prolapse: What Every Woman Needs to Know

Introduction

A tilted womb, or retroverted uterus, occurs when the uterus tilts backwards towards the spine instead of forward. Though often dismissed, research shows it increases the risk of prolapse significantly. Women with a tilted womb are 4.5 times more likely to develop moderate to severe prolapse, highlighting the importance of pelvic floor health.

How Common Is a Tilted Womb?

A retroverted uterus is more common than many people think. In the general gynaecological population, around 19% of women have this condition. However, in women with urogynaecological issues, including prolapse and bladder weakness, the prevalence jumps to 34%—a 79% higher occurrence! This suggests that a tilted womb may be an important factor in pelvic floor health that has been largely overlooked in urogynaecological research until now.

The Link Between a Tilted Womb and Prolapse

Emerging clinical data shows that women with a tilted womb are 4.5 times more likely to experience moderate to severe (grade 2-4) uterine prolapse compared to those with an anteverted uterus (tilted forward). Shockingly, 69% of moderate to severe prolapse cases involve women with a retroverted uterus. This suggests that having a tilted womb places greater strain on the pelvic floor, making prolapse more likely.

To accurately diagnose a retroverted uterus, a transvaginal ultrasound with an empty bladder is required. If you’ve been diagnosed with a tilted womb, understanding its potential effects on your pelvic floor is crucial.

Can a Tilted Womb Affect Fertility?

A retroverted uterus itself does not cause infertility, but it can sometimes make conception more challenging. The position of the uterus may affect sperm travel or cause discomfort during intercourse. Some women with a tilted womb may also have endometriosis or pelvic adhesions, which can contribute to difficulty conceiving.

Penny, a long-time Kegel8 user, recalls:
“I was told at 25 by my GP that I had a tilted womb. He said, ‘Nothing different about it, but you might find that when the time comes to get pregnant, it might not be as easy for you to conceive.' (it didn't for me thankfully)

Little did I know that as soon as I hit menopause at 53 I would have a double prolpase! Both front and back wall prolapse. I know giving birth to a 10lb baby was difficult for me, I was in labour with my daughter for over 24 hours and tore terribly.

But really? Double prolpase? This is just the last straw.

I regularly use my Kegel8, I have been to a pelvic physio and worked on my posture, breathing and pressure on the pelvic floor - all positive stuff. But I am still 'broken' in my eyes, my prolpase broke me. I can say this here because I havent used my real name, but if I had known what I know now, I would not have given birth vaginally. Just saying.'

While this can sound alarming, most women with a retroverted uterus go on to have healthy pregnancies. In many cases, as the pregnancy progresses, the uterus shifts into a more typical position. However, if you’re trying to conceive and have concerns, speaking to a doctor about your uterine position and pelvic health can help you take proactive steps.

Strengthen Your Pelvic Floor to Prevent Prolapse

If you have a tilted womb, the most important thing you can do is strengthen your pelvic floor to reduce your risk of prolapse. Pelvic floor exercises (Kegels) are essential to maintaining the muscle support your uterus needs. Using a clinically designed pelvic floor exerciser, such as Kegel8, can help target and strengthen the right muscles more effectively than manual Kegels alone.

Final Thoughts

Women with a tilted womb need to be aware of their higher risk of prolapse and take steps to keep their pelvic floor strong. With the right approach, including regular pelvic floor exercises, proper posture, and lifestyle adjustments, you can support your long-term pelvic health and reduce the likelihood of prolapse. If you’ve been diagnosed with a retroverted uterus, it’s time to take control of your pelvic health today!

Clinical studies and resources: