My uterus is tipped. Is that a problem?
Jordan Oland, MD, is an obstetrician and gynecologist on staff at Banner Estrella Medical Center in Phoenix.
Question: My husband and I are ready to start a family, but I was told several years ago that I may have a tipped uterus. Will you please describe what a tipped uterus is and how it might affect my ability to conceive?
Answer: In most women, the uterus is positioned straight up and down in the pelvis or tilted slightly forward toward the stomach. However, roughly 20 percent of women have a tipped or tilted uterus, where the uterus tilts toward the spine.
A tipped uterus can be diagnosed through a routine pelvic exam. Although most women with tipped uteruses were born that way, there are a few ways a normally positioned uterus can become tipped. As a woman matures, the uterus may simply fail to move into the proper position. Or, ligaments holding up the uterus may be stretched and lose their tension during childbirth. Additionally, a uterus can become displaced due to scarring from fibroid tumors, endometriosis, pelvic infections or previous surgical procedures.
Many women experience no symptoms. However, symptoms can occur, often including pain during sexual intercourse, pain during menstruation, minor incontinence, urinary tract infections and difficulty using tampons.
Generally speaking, a tipped uterus is not believed to cause fertility issues. Only when all other possible explanations are investigated and ruled out are fertility problems blamed on a tipped uterus.
If you experience any of the symptoms mentioned above or are concerned with how a tipped uterus may be affecting your ability to conceive, it's important that you talk with your health-care provider. He or she will be able to answer your questions and determine if further evaluation or treatment is necessary.