Symptoms:

• Uterine retroversion by itself almost never causes any symptoms.
• Rarely, retroversion of the uterus caused by an enlarging pregnancy or tumor may cause pelvic pain or discomfort.
• Retroversion of the uterus resulting from other causes such as endometriosis may be associated with the symptoms of the underlying disorder.

Signs and tests:

A pelvic examination reveals the position of the uterus. However, a tipped uterus can sometimes be mistaken for a pelvic mass or an enlarging fibroid. A rectovaginal exam may be used to distinguish between a mass and a retroverted uterus.

An ultrasound examination can be used to determine the exact position of the uterus, if necessary.