How to Conceive More Quickly with a Retroverted Uterus

Retroverted uterus is a relatively common uterine position encountered clinically, encompassing both uterine retroversion and uterine retroflexion. Retroversion occurs when the longitudinal axis of the uterus remains unchanged but the entire uterus tilts backward, causing the cervix to tilt upward. Retroflexion refers to a condition where the cervix maintains its normal position while only the uterine body bends backward. A retroverted uterus is often a normal anatomical variant; however, in some cases, it may be associated with gynecological disorders.

During routine physical examinations, women may discover they have a retroverted uterus. Since one of the more significant implications of a retroverted uterus is reduced fertility, how can conception be facilitated? The following methods may help:

① Elevating the buttocks after intercourse

Placing a pillow under the woman’s buttocks during or immediately after intercourse positions her in a head-down, hip-elevated posture. This helps pool semen in the posterior vaginal fornix, allowing the cervix to remain immersed in the semen pool—thereby enhancing the likelihood of conception.

② Adopting the “doggy-style” (rear-entry) position

This involves either assuming a prone position after intercourse or engaging in intercourse in the rear-entry position. Such positioning encourages semen accumulation in the anterior vaginal fornix, facilitating immersion of the upward-tilted cervix in semen.

③ Uterine round ligament shortening or uterine suspension surgery

It is important to note that the efficacy of these surgical interventions is uncertain, and recurrence may occur several years postoperatively. Consequently, these procedures are generally not recommended today.

④ Uterine pessary correction

In select cases, manual repositioning of the uterus into an anteverted position may first be performed, followed by short-term placement of a uterine pessary to achieve temporary correction.