What are the effects of a retroverted uterus?

Jul 14, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, retroverted uterus, as a common uterine position, may have the following effects: increased difficulty in conception, menstrual discomfort, lower back pain, poor menstrual blood discharge, and discomfort during sexual intercourse. In a retroverted uterus, the cervical opening faces the posterior vaginal fornix, while semen tends to accumulate in the anterior vaginal fornix, making it less favorable for sperm to enter the cervical canal and fertilize the egg, potentially reducing the likelihood of conception.

Generally, as a common uterine position, a retroverted uterus may mainly cause effects such as increased difficulty in conception, menstrual discomfort, back pain, poor menstrual blood discharge, and discomfort during sexual intercourse. Detailed analysis is as follows:

1. Increased difficulty in conception: When the uterus is retroverted, the cervical os faces the posterior vaginal fornix, whereas semen usually accumulates in the anterior vaginal fornix, which is not conducive to sperm entering the cervical canal and combining with the egg, possibly reducing the probability of conception. However, this effect is not absolute, and some women with a retroverted uterus can still conceive normally.

2. Menstrual discomfort: During menstruation, a retroverted uterus may cause obstruction of menstrual blood discharge, leading to dysmenorrhea symptoms, manifested as lower abdominal pain and distension. The severity varies among individuals, and some women may experience significant pain that affects their normal work and daily life.

3. Back pain: A retroverted uterus may cause pulling or pressure on surrounding tissues, especially during menstruation or after physical exhaustion, making it prone to develop back pain. The pain is often dull or aching and may be relieved after rest but exacerbated by excessive activity.

4. Poor menstrual blood discharge: Due to the posterior position of the uterus and the change in angle of the cervical canal, menstrual blood discharge may be impeded, prolonging the menstrual period. Menstrual blood may remain in the uterus for a longer time, causing darkened color and even clotting.

5. Discomfort during sexual intercourse: Some women with a retroverted uterus may experience abdominal or back pain during sexual activity, which can affect the quality and experience of sexual life. This discomfort is often related to impact or traction on the uterus.

In daily life, if affected by the above conditions, adjustments such as changing body positions and appropriate exercise can be made to alleviate discomfort and improve related conditions.

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