How to Conceive with a Retroverted Uterus
Jun 01, 2022
Source: Cainiu Health
Dr. Chong Yiwen
Introduction
Methods for conception with a retroverted uterus include the following:
- Correcting the retroverted position of the uterus by spending 30 minutes daily in positions that encourage anteversion and anteflexion of the uterus.
- During intercourse, adopting the “doggy-style” (rear-entry) position may help immerse the cervical os in semen more effectively, facilitating fertilization.
- Initially, try using a pessary (uterine support device) or manual manipulation to reposition the uterus into an anteverted position.
- If conservative measures fail, surgical correction of the retroverted uterus may be considered.
Due to impaired sperm-egg interaction, women with a retroverted uterus have a relatively lower chance of conception. The following methods may help improve fertility:
① Correction of uterine retroversion
Many cases of uterine retroversion result from prolonged supine positioning. Therefore, women should actively adopt corrective measures—for example, consistently practicing side-lying and supine positions, as well as performing the “knee-chest” position two to three times daily for 30 minutes each time, to encourage anteversion and anteflexion of the uterus. During menstruation, prone positioning once daily is also recommended, as the uterus is slightly softer at this time, facilitating anteversion.
② Optimal coital positions
To enhance cervical immersion in semen and facilitate sperm-egg interaction, couples may modify their coital positions. The rear-entry (doggy-style) position is preferred, as it allows semen deposition near the anterior vaginal fornix—closer to the cervical os—and thereby optimizes conditions for sperm entry into the uterus.
③ Surgical intervention
Uterine pessary correction may be attempted first: manual repositioning of the uterus into an anteverted position followed by short-term placement of a pessary to maintain correction temporarily. If unsuccessful, surgical options—including uterine ligament shortening (e.g., round ligament shortening) or uterine suspension—may be considered. However, surgical outcomes are often unstable, with recurrence common several years postoperatively; thus, surgery is generally not recommended.
