Pregnancy can sometimes overstretch the ligaments that hold the uterus in place and allow it to tip backwards, however it does tend to return to its original shape.

[5] Rarely, a retroverted uterus is due to a disease such as endometriosis, an infection or prior surgery.

[7] In addition to manual anteversion and bladder drainage, treatment of urinary retention due to a retroverted uterus can require the use of a pessary, or even surgery.

Considering the angle of the uterus, the ovaries and the fallopian tubes are also tilted, and dyspareunia can occur,[8] where the head of the penis may impact or butt these parts during intercourse.

Doctors are divided as to whether or not pelvic exercises are worthwhile as a long term solution, as in many cases the uterus tips backwards again.

If the retroverted uterus is caused by underlying conditions like endometriosis, hormone therapy can be offered.

However, pessaries correlate with higher infection and inflammation risks, and patients may experience discomfort during intercourse.