A retroverted uterus, or tilted uterus, doesn’t usually affect a woman’s ability to get pregnant. It doesn’t impact the ability of sperm to reach the egg and it doesn’t cause infertility. If you’re unable to get pregnant and have a tilted uterus, it’s most likely caused by another condition of your uterus that affects fertility. A retroverted uterus may create more pressure on your bladder during the first trimester. That may cause either increased incontinence or difficulty urinating. It can also cause back pain for some women. The reverse cowgirl position might be the best sex position for getting pregnant. In this position, the woman sits on her partner facing away from him, providing a unique angle of entry.
