Retroverted Uterus: What Does It Mean?

Jul 19, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, a retroverted uterus may be caused by congenital developmental factors, postural influences, pelvic inflammatory disease, endometriosis, multiple childbirths, or other factors. It is recommended to seek timely medical attention, identify the underlying cause, and undergo symptomatic treatment under a physician's guidance. In daily life, avoid long-term urine retention and reduce pelvic pressure. Engage in appropriate physical exercise, such as yoga and brisk walking.

Generally, a retroverted uterus may be caused by congenital developmental factors, postural influences, pelvic inflammatory disease, endometriosis, multiple childbirth injuries, and other reasons. It is recommended to seek timely medical attention, identify the underlying cause, and undergo symptomatic treatment under a physician's guidance. Detailed analysis is as follows:

　　1. Congenital developmental factors: During embryonic development in females, abnormal development of the uterine ligaments may lead to a naturally retroverted uterus. If no discomfort is present, this is considered a normal physiological variation and does not require special treatment. Regular gynecological examinations are sufficient.

　　2. Postural influences: Prolonged supine sleeping may cause the uterus to tilt backward due to gravity, resulting in a retroverted uterus. Adjusting sleep posture and increasing lateral or prone positions appropriately may help improve the uterine position.

　　3. Pelvic inflammatory disease: Infection of the pelvis by bacteria or other pathogens causes inflammation, leading to adhesions within the pelvic tissues, pulling the uterus backward. This may be accompanied by symptoms such as lower abdominal pain and fever. Patients may follow medical advice to use medications such as ceftriaxone sodium for injection, metronidazole tablets, or levofloxacin hydrochloride capsules to control inflammation.

　　4. Endometriosis: Ectopic endometrial tissue in the pelvic cavity can form adhesions that pull the uterus backward and fix it in place, possibly accompanied by symptoms such as dysmenorrhea and pain during sexual intercourse. Patients may follow medical advice to use medications such as gestrinone capsules, danazol capsules, or ibuprofen sustained-release capsules to alleviate symptoms. Severe cases may require laparoscopic excision of ectopic endometrium to release adhesions and restore the normal position of the uterus.

　　5. Multiple childbirth injuries: Repeated childbirth can cause relaxation of the pelvic floor muscles and ligaments, weakening the support for the uterus and causing it to tilt backward, possibly accompanied by a feeling of heaviness. Pelvic floor muscle rehabilitation exercises, such as Kegel exercises and electrical stimulation therapy, can enhance pelvic floor support. In severe cases, uterine suspension surgery may be required to fix the uterus in a normal position and relieve symptoms.

　　In daily life, avoid long-term urine retention to reduce pelvic pressure. Engage in appropriate physical exercise, such as yoga or brisk walking, to strengthen pelvic floor muscles. Maintain good personal hygiene to prevent pelvic infections, which helps preserve the normal position of the uterus.

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