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Most common:
Anteverted + anteflexed (forward facing and forward bend)
Retroverted + retroflexed (backward facing and backward bend)
Midposed with slight anteflexion or retroflexion (pointing upwards with a slight bend either forward or backward)
Least common:
Severe anteflexion or retroflexion
Anteverted + retroflexed (forward facing and backward bend)
Retroverted + anteflexed (backward facing and forward bend)
Midposed with no flexion (pointing straight up)
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Some women have a retroverted uterus. For these women, you put the speculum in straight or angle it towards the pt's abdomen. Most women have an anteverted uterus, which is why it's usually easier to find the cervix if you point it more down towards the pt's rectum.
I have a retroverted uterus (confirmed on ultrasound when I had an IUD inserted. I no longer have the IUD but that's irrelevant to my question). Is it true that it may be more difficult to become pregnant with my uterus that way?
Nope. Having a retroverted (or “tipped/tilted”) uterus is a healthy variation on normal.
It does not affect your fertility. However, the reason why your uterus is retroverted could be due to something that does affect your fertility, like endometriosis or pelvic inflammatory disease. In that case, those conditions are causing both the infertility and the uterine position.
If everything else has been ruled out and you are continuing to have fertility trouble and you have a retroverted uterus, try one of the following:
Maya Abdominal Massage
Pelvic Floor Physical Therapy
Self Fertility Massage
Those will supposedly help to move the uterus up into a place where it gets better blood flow and increase fertility.
