Patient's question:
Detailed medical condition and consultation purpose: We have been married for three years, but have not had any children. After checking at the hospital, it was found that my wife's uterus is retroverted, which makes it difficult to conceive.Doctor's answer:
Under normal circumstances, the uterus is located centrally in the pelvis in an anterior tilt position. The entire cervix and uterus resemble a pair of scales, with the fulcrum at the cervix. If the uterus is in an anterior tilt position, the cervix points downward and backward, which is beneficial for the early development of the fertilized egg into a fetus after marriage. This is because after sexual intercourse, semen accumulates in the posterior fornix of the vagina, causing the downward-pointing cervix to be immersed in semen, facilitating the movement of sperm into the uterine cavity and promoting pregnancy. Conversely, when the cervix is in a posterior tilt or retroverted position, it assumes an upward-tilted state. During sexual intercourse, if the woman adopts a supine position, the cervix is relatively far from the semen, making it less likely to be immersed in semen, thereby affecting pregnancy.Women with a uterus in a posterior position who wish to conceive can elevate their hips for half an hour after removing an IUD and having intercourse to allow semen to fully immerse the cervix, which can help achieve pregnancy without the need to remove the IUD.