What tests should be done if you cannot get pregnant

Patient's question:

Hello, my uterus is retroverted quite severely. I haven't been using contraception for half a year now, but I haven't gotten pregnant. I've been very anxious and feel some psychological burden. Should I undergo relevant examinations? Is it also related to my nervous mood? What should I do? Thank you

Doctor's answer:

Hello: You can have a check-up at the gynecology department. It is related to emotions. A retroverted or retroflexed uterus can easily cause the cervix to be in an upward position, making it difficult for the cervix to be immersed in the pool of semen and affecting fertility.
Methods to prevent retroverted uterus: It is important to pay attention to physical exercise on a daily basis, especially to strengthen the tension of the ligaments and pelvic floor muscles in the pelvic cavity through exercise, and to avoid them from becoming loose. At the same time, it is also necessary to develop good habits of urination and defecation, avoiding excessive bladder filling and frequently increasing abdominal pressure due to habitual constipation. Avoid chronic bronchitis, which may cause downward force during coughing, and it is best to adopt a side-lying position during sleep to prevent the uterus from tilting backward due to gravity.
Remedial measures for retroverted uterus: If you want to get pregnant with a retroverted uterus, you can take remedial measures, including:
①：During or after intercourse, place a pillow under the woman's buttocks to position her in a head-low, buttock-high posture. This allows semen to accumulate in the posterior fornix, immersing the cervix in the semen pool, which is beneficial for conception.
②：This allows semen to accumulate in the anterior fornix of the vagina, making it easier for the upward-facing cervix to be immersed in semen.
③：The effectiveness of these surgeries is uncertain, and they may recur after several years. Currently, this method is generally not recommended.
④：For some women, manual to a uterus in an anterior position can be attempted first, followed by the short-term use of a pessary, which can provide temporary correction.