Learning to work with your body, in all its quirky glory, goes a long way toward creating a happy sex life. For some women though, this presents more of a challenge in the form of a tilted uterus. Knowing how a tilted uterus affects sex helps make intimacy more pleasurable. After all, a uterus that sits a bit off-axis does not have to hamper any woman's enjoyment of sex.
So what is a tilted uterus? In most cases, the uterus stands up in a vertical position within the body. But, according to the American Pregnancy Association (APA), if a woman has a tipped or tilted uterus, then it leans back a bit toward the pelvis. The uterus sometimes tilts during its growth and development, or it may become tilted turing childbirth, as further noted by the APA. Overall, it does not present a huge problem. In fact, an estimated 30 percent of women have a tilted uterus, according to the website for Women's Health, so a person may have one and not even know it. A gynecologist's exam is necessary to identify a tipped uterus, though there are some signs you may have a titled uterus.
Knowing how a tilted uterus affects the mechanics of sex is good information for any sexually active person. According to the International Society for Sexual Medicine, a tilted uterus sometimes makes rear entry positions uncomfortable for the woman, as well as anything involving deep thrusting. Overall, though, the reported amount of pain during sex from a tipped uterus tends to be minor, as noted on Healthy Women. Extreme pain could point to more severe conditions such as pelvic inflammatory disease or endometriosis, as explained by Columbia University's Go Ask Alice site. Only a doctor's visit can clear this up with certainty.
On a positive note, there are many different strategies to make sex with a tilted uterus more comfortable. For starters, switching positions is an easy fix. According to the website for Psychology Today, opting for forward-facing positions such as missionary or standard cowgirl are often the most pleasant options for women with a tipped uterus. Easy enough, right? In other cases, however, a surgical option called a uterine suspension moves the uterus into a more forward-facing position, according to the APA. This is an option for more serious cases. In general, though, most every tilted uterus can accommodate sex in some way.