Symptoms of uterine tilt

Some women may not feel any change when they have a uterine deviation, while others may find several signs indicating this deviation. Common signs of uterine misalignment include:

1. Difficulty inserting vaginal tampons

Typically, tampons are used easily during menstruation, however, some women may face challenges when inserting them if their uterus is tilted. In this case, the plug may not be able to stay in its proper position properly.

2. Problems and difficulties in pregnancy

The effects of uterine curvature on a woman's health are numerous, as it may be difficult for her to conceive as a result of some health conditions such as endometriosis. This condition is one of the factors that increases the challenges of pregnancy when there is a uterine curvature.

On the other hand, women who have a curvature of the uterus without other health problems are unlikely to have severe difficulties conceiving. These cases show how the effects of uterine curvature on the ability to reproduce vary according to accompanying health conditions.

3. Lack of control over urination

When there is a curvature of the uterus, it may have noticeable effects on nearby organs, such as the bladder. Sometimes, a woman may find it difficult to maintain control over urination, causing her embarrassment due to urine leakage at unexpected times.

This pressure on the bladder can lead to situations where a woman may think she needs to go to the bathroom but may be surprised to leak urine before she gets there. This may cause her some kind of inconvenience or feeling of discomfort as a result of this leakage, which is similar to the symptoms of urinary incontinence.

4. Extreme discomfort when trying certain sexual positions

A deviated uterus can cause significant pain when trying some sexual positions, especially those that involve deep vaginal penetration.

5. Severe menstrual cramps in the lower back

Women usually experience pain in the lower abdomen during menstruation, but those who suffer from a tilted uterus may feel pain in the back area as well. These pains are characterized by the fact that they may be accompanied by cramps that increase the feeling of discomfort during this period.

6. Irregular menstrual cycle

Doctors point out that changes in the menstrual cycle may indicate a deviation in the uterus, and it is important for women who notice this change to visit a doctor to confirm the reasons behind these disorders.

7. Other symptoms of uterine tilt

A woman may suffer from certain health problems as a result of the curvature of the uterus, including:

- Repeated urinary tract infections.
- Feeling pain in the vaginal area or lower back during sexual intercourse.
- The appearance of pain located in the anal area or extending to near the stomach.
– Difficulties in urination or defecation, and this may include cases of constipation.
- The appearance of a swelling or bump in the lower abdomen.

Causes of uterine tilt

Some women can experience a condition known as uterine tilt, and this condition may occur as a result of several different factors, whether acquired or congenital.

Among the main causes of uterine tilt, we find genetic factors, as studies indicate that about 25% of women with this condition inherited it from a family member.

Infections in the pelvic area can also lead to the tilt of the uterus if not treated properly, leading to the formation of scar tissue that displaces the uterus from its normal place.

Also, factors such as uterine enlargement caused by multiple causes such as tumors, fibroids, or pregnancy, would affect the position of the uterus.

In addition, the presence of endometriosis or fibroids in the uterus, which are considered influential medical conditions, can also cause uterine tilt.

Muscle weakness in the pelvic area, often caused by multiple births or hormonal changes during menopause, may lead to weakness in the tissues and ligaments surrounding the uterus, contributing to its changing position.

Also, repeated pregnancy or previous surgeries in the uterine area can result in the accumulation of scars, which in turn puts pressure on the uterus and leads to its tilt.

Does the tilt of the uterus appear on ultrasound?

Ultrasound technology allows the position of the uterus to be viewed in the body, and enables doctors to see any curvatures in it, such as the uterus turning back toward the spine instead of facing forward.

In addition, doctors can determine the orientation of the uterus using a simple pelvic exam. This examination involves using a metal tool that opens the vagina, followed by the doctor inserting two fingers inside while his other hand presses on the abdomen. This method helps in obtaining a clear picture of the inclination and location of the uterus.

Does the tilt of the uterus affect the chances of pregnancy?

A tilted uterus does not hinder the ability to have children, and women with a tilted uterus can get pregnant with the same ease as those whose uteruses are in the original position. If a woman experiences challenges conceiving, the causes are often related to other factors such as hormonal changes, endometriosis, or the presence of fibroids in the uterus.

As for the effect of the uterine tilt on pregnancy, it does not pose a significant risk to the health of the pregnancy or increase the risk of miscarriage or any other complications affecting the mother or fetus. In fact, during pregnancy, the uterus naturally adapts and tilts toward its optimal position, and after birth, the uterus returns to its previous tilted position.

How can the tilted uterus be returned to its normal position?

A tilted uterus is considered a natural phenomenon that does not usually require serious concern or treatment, as no disturbing symptoms appear in most cases. However, if complications such as pain arise during marital relations, medical intervention may be necessary to correct the position of the uterus.

One of the correction methods that doctors may resort to is manual retraction of the uterus, which works to return it to its normal position using the hand. Also, the doctor may recommend performing certain exercises that contribute to enhancing muscle strength in the pelvic area, such as Kegel exercises or knee-to-chest exercises to support the stability of the uterus.

In some cases, the use of a vaginal ring may be suggested, which works to keep the uterus in its optimal position. It should be noted that these solutions may be temporary and are not the first choice for all women, as each case must be carefully evaluated individually.