How to Conceive More Quickly with a Retroverted Uterus

During routine health examinations, some women discover they have a retroverted uterus (a uterus tilted backward). A major concern associated with a retroverted uterus is reduced 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-low, hip-high posture. This helps pool semen in the posterior vaginal fornix, immersing the cervix in the semen reservoir and thereby enhancing the chances of conception.

② Rear-entry (doggy-style) position

This refers specifically to adopting a prone position after intercourse—or engaging in intercourse in a rear-entry (kneeling, facing away from partner) position—to encourage semen accumulation in the anterior vaginal fornix. This positioning facilitates cervical immersion in semen, especially when the cervix is tilted upward.

③ Round ligament shortening or uterine suspension surgery

It should be noted that the efficacy of these surgical interventions remains uncertain, and recurrence is common within several years. Consequently, such procedures are generally not recommended today.

④ Uterine pessary correction

In select cases, manual repositioning of the uterus into an anteverted (forward-tilted) position may first be attempted, followed by short-term placement of a uterine pessary to provide temporary correction.