How to Have Sex with a Retroverted Uterus

Humans come in all different shapes and sizes and your reproductive organs are no different. It’s well known that vulvas and labia can vary drastically, but the variations don’t stop there.

Even the uterus can vary between individuals, this is true in the case of a “retroverted uterus”.

No, that doesn’t mean that your uterus is inside out, but it can potentially affect how you navigate sex and pleasure. Let’s explore what a retroverted uterus is and how it may impact your sex life!

What is a retroverted uterus?

A retroverted uterus curves backward instead of forward at the cervix.

The uterus is shaped like an upside-down pear and sits between your bladder and your rectum in your pelvis. This incredible organ can even shift positions during pregnancy.

While the exact position varies from person to person, generally, the uterus tilts forward toward the abdomen. In the case of a retroverted uterus, it instead tips backward so it curves toward the spine. This also can change the position that your cervix points to, which as you can imagine, can potentially affect your sex life.

This is pretty common, about 25% of women and people with uteruses have one that is retroverted. You can be born with your uterus in this position or it can shift later in life from things like pregnancy and hormones. 

Is this a health issue?

Most people with a retroverted uterus will have no complications from it. It shouldn’t generally affect fertility or birth, but there is some correlation between a retroverted uterus and conditions like endometriosis, uterine fibroids, and pelvic inflammatory disease (PID).

According to some alternative health professionals, a tilted uterus creates “abnormal pressure in the affected area creating a restriction of blood flow and lymph”, which may lead to painful periods or ovulation, constipation, back pain, bladder infections, and more. 

Alternative therapies to help with a tilted uterus

A womb massage or Mayan Abdominal Massage may be a worthwhile treatment if you do experience negative side effects from having a tilted uterus. Regular womb massage sessions can help to put the organs back into place and strengthen and tone the ligaments inside the pelvic bowl that hold up the uterus, bowel, and bladder. 

One might also like to use a Castor Oil pack (we sell these here) to help with pain relief. Application of the castor oil may help to decrease inflammation and help produce T-cells and lymphocytes, which essentially help to boost the immune system.

Castor Oil Packs are an ancient modality that bring about many health benefits, particularly for our stomach, liver, and womb. A Castor oil pack is a simple and effective home therapy that you can use to improve elimination, lymphatic drainage, and inflammation issues and help detoxify the body.

Using a warm heat pack over the womb space can also be a soothing practice for folks with a tilted uterus and whom experience cyclical pain. The Womb Heat Wrap is an ultra-comfortable, hands-free, flaxseed heat pack specifically designed for wrapping around the lower back, lower belly, neck or shoulders, or even the leg or hip. Simply heat in the microwave for 2 minutes and enjoy a long-lasting warmth for 20-30 minutes or more. You can get our Womb Heat Wrap here. 

Having sex with a retroverted uterus

While a retroverted uterus isn’t necessarily a health condition, it can impact sex. 

One of the most common symptoms of having a retroverted uterus is painful intercourse, especially with certain positions and deep thrusting. That can also make things like using yoni eggs or tampons uncomfortable – although it’s perfectly safe to use them if they work for you.

Here are some other tips on how to enjoy sex with a tilted uterus:

Focus on foreplay

Foreplay is important for everyone, no matter the positioning of your uterus. 

It’s that much more helpful for those with a retroverted uterus because getting turned on through foreplay can help elongate the vagina, so the tilted cervix is further away before penetration (whether that’s with fingers, a toy, or a penis). 

Moving slowly can also help you relax and ease into the moment, which can also help with any pain or discomfort you may feel. 

Find the right positions 

Certain positions can be uncomfortable for those with a tilted uterus, especially those that target the cervix or let your partner go super deep.

This can be different for everyone, but going on top can help you have more control over sensations. You may also want to try a more gentle position like spooning versus doggy style. It can take some experimenting to find out what works best for you!

Here’s what some of the women shared when asked this question inside the Facebook Group (click here to read):

“I'm all good with most positions, as long as there is enough playtime before. Anything too straight can be slightly painful, toys that curve upwards are my preferred”

“Love to be on top grinding or bent over standing and love my serpent or a vibe for clit”

Toys, (I) love Womanizer Duo. Positions depends on length and angle of cock and where I am in my cycle. I do struggle with mainly reverse cowgirl especially if on larger size.”

Try external stimulation 

Penetration is certainly not necessary – ever. Whether or not you want penetrative sex, focusing on external stimulation can help increase pleasure without bringing you pain. This is especially true for those with endometriosis, which can make sex even more painful.

Our Suki and Flick Cock Ring Vibrators are a great option to add pleasure for both partners. These silicone toys are designed to wrap around a penis, pleasure wand, or strap-on, with the Flick stimulating the clitoris in a tongue-flicking fashion and the Suki stimulating the clitoris in a tongue-sucking fashion.

You can also use the Ovie by Yinn for clit suction or clit flicking! 

These can help add an extra layer of external stimulation whether or not penetration is comfortable and pleasurable for you.

Communicate and enjoy!

Everyone’s body has its own unique quirks and charms, so it can take time to find positions and techniques that work for you, whether or not you have a retroverted uterus. 

As with anything intimacy-related, communication is key. If something is uncomfortable or not working for you, communicate with your partner so you can find a rhythm that works for both of you!

Of course, if you are concerned about the health of your uterus or are experiencing pain or discomfort, during or outside of sex, be sure to talk to your doctor or gynecologist.