How to Conceive More Quickly with a Retroverted Uterus

During routine physical examinations, some women discover they have a retroverted uterus. A significantly retroverted uterus may impair fertility. So, how can conception be facilitated? The following methods may help:

① Elevating the buttocks after intercourse

Place a pillow under the woman’s buttocks during or immediately after intercourse to position 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 “rear-entry” (kneeling) position

This refers specifically to either assuming a prone position after intercourse or engaging in intercourse while the woman is kneeling with the partner entering from behind. This positioning encourages semen accumulation in the anterior vaginal fornix, facilitating cervical immersion in semen—even when the cervix is tilted upward.

③ Uterine round ligament shortening or uterine suspension surgery

It is important to note that the efficacy of these surgical interventions remains uncertain, and recurrence is common within several years. Consequently, such procedures are currently not generally recommended.

④ Uterine pessary correction

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