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Uterus retroversion; Malposition of the uterus; Tipped uterus
Retroversion of the uterus is a normal variation of female pelvic anatomy in which the body of the uterus is tipped toward the back rather than forward. It is commonly called a "tipped uterus."
Retroversion of the uterus is common. It is the normal uterine position in about 20% of all women.
Weakening pelvic ligaments associated with menopause may cause this condition in women who previously did not have a retroverted uterus.
Enlargement of the uterus, either as the result of a pregnancy or a tumor, may also change lead to retroversion.
Scar tissue in the pelvix (pelvic adhesions) can also hold the uterus in a retroflexed position. Such scarring may result from:
Lentz GM. Differential diagnosis of major gynecologic problems by age group: vaginal bleeding, pelvic pain, pelvic mass. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 8.