What is an Anteverted Uterus?

An anteverted uterus is a uterus that leans forward towards the belly and bladder.

It’s a relatively common uterus orientation that poses no medical threat. When the uterus is tipped backwards, we call it a retroverted uterus.

Similarly, it bears no clinical significance and you shouldn’t worry. Below, we’ll talk more about the different types of uterus positions.

How Common is an Anteverted Uterus?

It’s estimated that about 75% of women have an anteverted uterus. Additionally, about 25% of women have a retroverted uterus.

What causes one position to occur over the other? In many cases, it’s simply a matter of development.

anteverted uterus

Note that there are medical conditions that can alter the position of the uterus. These include:

  • Uterine Fibroids
  • Surgery
  • Endometriosis

However, these are rare. The position of a uterus can be changed with surgery. But since it doesn’t pose any medical importance, most women ignore it.

I mean, would you really want to undergo surgery for something that won’t have any effect on your life? For most women, the answer is a definite “No”.

Bottom Line: About 3/4th of women have an anteverted uterus. It’s a common anatomical feature that won’t have any bearing on your health.

Does it Cause Pain?

An anteverted uterus will not cause you any pain during menstruation or sexual intercourse.

If you’re feeling pain, then it’s most likely due to something else. On the contrary, women with a retroverted uterus might experience pain.

Specifically, they might experience pain while “on top” during sex, or during their menstrual cycle.

If you have a retroverted uterus that you think is causing you pain, speak with your doctor about it.

You can always get it surgically repositioned, but you must ask yourself: is it worth the risk?

Surgery should be last measure when you’re experiencing pain due to a retroverted uterus.

Bottom Line: A uterus that tilts forward will not cause you any pain or discomfort. Women with a retroverted uterus might experience pain during sex or their menstrual cycle.

Can an Anteverted Uterus Affect Your Ability to Get Pregnant?

Oftentimes, when a woman hears the word “tilted”, paranoid thoughts begin to enter their mind:

  • Will it affect my fertility?
  • Will it hurt the baby?
  • Does it increase the chances of a miscarriage?

No, no, and no! Most experts agree that an anteverted uterus has no effect on fertility or the pregnancy cycle.

This might sound counterintuitive since “tilting” the uterus might, in theory, prevent the sperm from reaching the fallopian tubes.

But this isn’t the case and there’s nothing to worry about. Also, once you get pregnant, the position of the uterus isn’t going to harm the baby in any way.

And there’s no increased risk of a miscarriage either. Above all, try not to worry about it.

Bottom Line: If you’re trying to get pregnant, have no worries- uterus position has nothing to do with it. It also won’t hurt your baby or affect miscarriage risk.

Can Uterus Position Change Over Time?

As we mentioned earlier, the position of your uterus is the result of anatomical development. For this reason, it takes something serious like trauma or an accident to change it.

In some cases, it might be due to endometriosis. This happens when tissue that normally grows inside the uterus (also called the “endometrium”) begins to grow outside of the uterus.

It can be very pain and there’s currently no cure for it. If you think that you might have endometriosis, then talk with your doctor.

In rare cases, an anteverted uterus might change position post-pregnancy or during weight gain. But these aren’t that common and most women don’t experience any positional changes during this time.

Bottom Line: The only things that can change uterus position are trauma and accidents, as well as endometriosis. In rare cases, weight gain can cause the shift.

Can You Physically “See” an Anteverted Uterus?  

In women who aren’t pregnant, no. The only time you will be able to see it is during pregnancy. Around the 12th week of pregnancy, a front-tilting uterus will be visible.

That’s because the uterus is tilted forward rather than straight up or backwards. What about women with a retroverted uterus? In this case, it will appear later.

Specifically, women with a retroverted uterus who are pregnant might not show it for the first four months of pregnancy. Since the uterus is tilted back, it takes longer to see.

Bottom Line: Women who have an anteverted uterus should be able to see it around the 12th week of pregnancy. Women with a retroverted uterus might need to wait a minimum of four months.

Does it Affect Menstruation?

pain period

A big worry that you might have is that your anteverted uterus will cause a lot of pain during menstruation.

Fortunately, this won’t happen. There’s no evidence linking a forward-titling uterus with increased menstrual pain.

With that said, if you’re experiencing unbearable pain during your period, don’t hesitate to see a doctor. The pain might be caused by endometriosis, which is not life-threatening but still very painful.

Women with a retroverted uterus might experience increased pain during their period, but it’s rare.

Bottom Line: A uterus that tilts forward has no anatomical significance on the menstrual cycle. However, in rare cases, a retroverted uterus might.

Our Advice? Don’t Worry About It

If your doctor tells you that you have a tilted uterus, then don’t panic. Remember that this is extremely common (about 75% of women have it).

An anteverted uterus won’t affect your chances of getting pregnant, won’t hurt the baby, and won’t increase your risk of miscarriage.

Additionally, it won’t increase menstrual pain and won’t change over time. In rare cases, something like endometriosis or physical trauma can alter the position of your uterus.

Most women acquire this tilted position during development. For this reason, it’s nothing to fret over.

If you know any women with a forward-titled uterus, be sure to share this article with them. Thanks for reading!

Ask a Question: If you want to ask a medical doctor a question that hasn't been answered in one of our articles go to: Ask a Medical Doctor About your Symptoms

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