A retroverted (or titled) uterus means the uterus is tipped backwards so that it aims towards the rectum instead of forward towards the belly.

Some of the causes of a retroverted uterus include:

* Natural variation - generally, the uterus moves into a forward tilt as the woman matures. Sometimes, this doesn’t happen and the uterus remains tipped backwards.
* Adhesions - an adhesion is a band of scar tissue that joins two (usually) separate anatomic surfaces together. Pelvic surgery can cause adhesions to form, which can then pull the uterus into a retroverted position.
* Endometriosis - the endometrium is the lining of the uterus. Endometriosis is the growth of endometrial cells outside the uterus. These cells can cause retroversion by ‘gluing’ the uterus to other pelvic structures.
* Fibroids - these small, non-cancerous lumps can make the uterus susceptible to tipping backwards.
* Pregnancy - the uterus is held in place by bands of connective tissue called ligaments. Pregnancy can overstretch these ligaments and allow the uterus to tip backwards. In most cases, the uterus returns to its normal forward position after childbirth - but sometimes it doesn’t.