What are the effects of retroverted uterus?

Patient's question:

Does retroverted uterus affect women's fertility?

Doctor's answer:

Hello, it may have a certain impact on pregnancy.
For retroverted uterus, compensatory measures can be taken when trying to conceive. The methods include:
① Post-coital hip elevation: During or after intercourse, place a pillow under the woman's hips to position her in a head-low, hip-high posture. This allows semen to accumulate in the posterior fornix, immersing the cervix in a semen pool, which facilitates conception.
② Post-coital prone position or coital back-kneeling position: This helps semen accumulate in the anterior fornix of the vagina, making it easier for the elevated cervix to be immersed in semen.
③ Uterine round ligament shortening surgery or uterosuspension surgery: The effectiveness of these surgeries is uncertain, and recurrence may occur years later. Currently, this method is generally not recommended.
④ Pessary correction method: Some women may first be manually to a propped uterus position, followed by the short-term use of a pessary, which can provide temporary correction.

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