Home > Diseases and Conditions > Retroversion of the uterus
  • We are sorry, but NCBI web applications do not support your browser and may not function properly. More information

PubMed Health. A service of the National Library of Medicine, National Institutes of Health.

A.D.A.M. Medical Encyclopedia [Internet]. Atlanta (GA): A.D.A.M.; 2013.

A.D.A.M. Medical Encyclopedia.

Retroversion of the uterus

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

Last reviewed: July 23, 2012.

Retroversion of the uterus occurs when a woman's uterus (womb) tilts backward rather than forward. It is commonly called a "tipped uterus."

Causes, incidence, and risk factors

Retroversion of the uterus is common. It is the normal uterine position in about 20% of all women.

Weakening pelvic ligaments associated with menopause may cause this condition in women who previously did not have a retroverted uterus.

Enlargement of the uterus, either as the result of a pregnancy or a tumor, may also lead to retroversion.

Scar tissue in the pelvis (pelvic adhesions) can also hold the uterus in a retroverted position. Such scarring may result from:

Symptoms

Retroversion of the uterus almost never causes any symptoms.

Rarely, it may cause pain or discomfort.

Signs and tests

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

An ultrasound examination can be used to determine the exact position of the uterus, if necessary.

Treatment

Treatment is usually not necessary. Any underlying disorders (such as endometriosis or adhesions) may be treated as needed.

Expectations (prognosis)

Usually this condition does not cause problems.

Complications

Atypical positioning of the uterus may be caused by endometriosis, salpingitis, or pressure from a growing tumor. These conditions should be ruled out in a patient with pain or other symptoms.

Calling your health care provider

Call your health care provider if you develop persistent pelvic pain or discomfort.

Prevention

There is no known prevention. However, early treatment of PID or endometriosis may reduce the chances of a change in the position of the uterus.

References

  1. Lentz GM. Differential diagnosis of major gynecologic problems by age group: vaginal bleeding, pelvic pain, pelvic mass. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 8.

Review Date: 7/23/2012.

Reviewed by: Melanie N. Smith, MD, PhD, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only — they do not constitute endorsementscof those other sites. © 1997–2011 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

Copyright © 2013, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only — they do not constitute endorsementscof those other sites. © 1997–2011 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

Copyright © 2013, A.D.A.M., Inc.

Figures

  • Female reproductive anatomy.
    Uterus.

PubMed Health Blog...

read all...

MedlinePlus.gov links to free, reliable, up-to-date health information from the National Institutes of Health (NIH) and other trusted health organizations.

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...