As if trying to get pregnant wasn’t difficult enough, having a tilted uterus can make the act of conceiving seem even more daunting. But is it harder to conceive if you have a tilted uterus, or is this one thing you shouldn’t stress about while trying to get pregnant?

I mean, if things like lube can affect your chances of conceiving, surely a uterus pointing backward can’t be good for pregnancy, right?


Does having a tilted uterus affect your fertility and it harder to get pregnant?

Turns out, the position of your uterus has little to nothing to do with your fertility. Reproductive endocrinologist (fertility specialist), Dr. Maria Costantini of the RMA Network tells us that having a tilted, tipped, or retroverted uterus does not affect your fertility or ability to get pregnant.

“Having a tilted uterus is a normal anatomical variant, similar to being either right or left-handed, and it doesn’t affect a woman’s chance of conception,” Costantini says. “The goal of the sperm reaching the uterus and the fallopian tubes is dependent on the sperm quality and cervical and tubal integrity, not the tilt of the uterus.”


Tilted uterus comparison diagram

Tilted Uterus Facts

  • There are several causes for a tilted uterus including genetics, scarring in the pelvis, having an enlarged uterus, and or weakening of the pelvic muscles
  • Having a tilted uterus does not affect your fertility
  • Other conditions often associated with a tilted uterus (endometriosis or pelvic scarring) can make it hard to achieve pregnancy
  • In most cases, no treatment is required for a tilted uterus

Dr. Shastri notes that in certain instances, a tilted or retroverted uterus can be associated with other conditions such as endometriosis or pelvic scarring, which in themselves can make it more difficult to conceive, but it’s not usually the tilt of the uterus that’s a problem. “Difficulty with conception is perhaps due to associated scarring of the tubes or ovaries,” Shastri says.


Causes of a Tilted or Retroverted Uterus

  • Genetics: Sometimes it just comes down to how a woman was born. Some women are born with a tipped uterus.
  • Age and Childbirth: As a woman matures, especially after menopause or childbirth, the pelvic muscles around the uterus may weaken and become tipped. After childbirth, the uterus will return to its normal position in most cases.
  • Pregnancy or Other Health Conditions: After pregnancy, a woman’s uterus can become enlarged causing it to shift position. Fibroids or tumors may also contribute to the uterus tipping.
  • Scarring: Scarring or adhesions can occur in the uterus as a result of conditions such as endometriosis fibroids, tumors, or infection and cause the uterus to be tipped.

If you’re having a hard time getting pregnant and are dealing with a tilted uterus, the American Pregnancy Association noted that the position of your uterus is only considered a reason for infertility if all other possible causes have been ruled out.

Your doctor won’t immediately assume that your tilted uterus has anything to do with your difficulties trying to conceive unless the tilt is the result of endometriosis or pelvic scarring.

Just chalk your tilted uterus up as one of those quirky things that make your body a little different and don’t let it stress you out when trying to conceive. As long as everything else is in healthy condition, your tilted uterus won’t affect your chances of getting pregnant.

Are you still having trouble getting pregnant? Take the first steps towards understanding why with our fertility consultation.