What causes retroverted uterus?

Some people are born with a retroverted uterus — it’s present at birth and not caused by any health conditions. In some cases, it happens later in life.

Some reasons you can develop a tilted uterus are:

• Scarring or adhesions: Scar-like tissues from prior pelvic surgeries (including cesarean deliveries), pelvic inflammatory disease (PID) or other infections can cause the tissues in your uterus to stick to other organs. This can pull your uterus backward.
• Fibroids: Uterine fibroids or other growths on your uterus can change its shape and position.
• Endometriosis: With this condition, tissues like your uterine lining form outside your uterus. These cells can attach to other organs in your pelvis and cause your uterus to become retroverted.
• Childbirth: Once you give birth, your pelvic floor muscles and ligaments are stretched and weaken, which can cause your uterus to tilt backward.
• Menopause: People who are in menopause will have weakened pelvic muscles due to a decrease in the hormone estrogen. The ligaments that hold your uterus can’t support it and cause it to tip backward.