A tilted uterus, sometimes known as a “tipped” uterus or a “retroverted” uterus, can be a common condition that happens to nearly one in every three women. 

Even so, many of those who have a tilted uterus can go their entire lives without knowing it. 

But, for those who experience discomfort due to a tilted uterus, it can create a few challenges—especially when it comes to sex.

Today, we’ll be talking about the ins and outs of a tilted uterus, and how those who have this condition can navigate their sex life.

What Is a Tilted Uterus?

Well, to answer this question, let’s discuss what the uterus is. The uterus is a small fist-sized organ that sits above a woman’s vagina. It’s where a foetus develops and grows, and its primary purpose is to nourish a developing fetus during pregnancy. 

And then, let’s answer the question: what is a tilted uterus? A tilted uterus is when it points more towards the back or the rear. For those who don’t have a tilted uterus, it’ll point forward, towards a woman’s belly. 

To make things easier to understand, imagine the uterus is shaped like a U. A tilted uterus is when the curved part of the U is facing the back, as opposed to the front.

The good news about a tilted uterus is that it doesn’t affect one’s chance of getting pregnant. The not-so-good news, however, is that it can create painful sensations during certain sex positions. 

What Causes a Tilted Uterus?

Oftentimes, a tilted uterus is genetic. But there are some conditions which can cause a woman to have a tilted uterus. Some of these conditions include:

• Adhesions (scar tissue) due to pelvic or abdominal surgery, which can pull the uterus back.
• Endometriosis, when the cells from the uterine lining are on the outside of the uterus.
• Uterine fibroids, which are benign tumours that can cause the uterus to tilt.
• Pregnancy that may cause the uterus to stretch to a point that it tips.
• Menopause which, due to the decrease of oestrogen, may affect the ligaments that hold the uterus in place.

Sex Positions for Those with a Tilted Uterus

For many women with a tilted uterus, face-to-face sex positions are usually more pleasant and enjoyable as opposed to sex from the rear or sex positions that allow for deep penetration. Some examples of rear entry sex include doggy style or reverse cowgirl. 

Why are rear sex positions or deep penetrative sex positions usually more painful for those with a tilted uterus? Because with these types of sex positions, it can cause pain due to the position that the uterus is pointed at. 

With that, some great sex positions for women with a tilted uterus include:

• (adapted) missionary-style sex
• woman-on-top sex
• spooning sex
• shower sex
• raised hips sex

But also, non-penetrative acts can be just as, if not more, thrilling! Let’s explore…

Adapted Missionary-Style Sex

Missionary style sex can be an intimate way to engage in eye contact with your partner during your tryst. And if you adapt it slightly, it could be the golden ticket to some very satisfying sex. How? Keep your legs straight and close together. This will stop your partner from thrusting too hard, and it’ll also allow for some sexy clitoral stimulation.

Woman-on-Top Sex

It may seem counterproductive because deep penetration is possible with this kind of sex position. But, when the woman is on-top, she can control the depth of the penetration. And according to OB/GYN Dr Kim Langdon, when a woman leans forward towards her partner’s chest or head, it can make things comfortable and pleasurable. 

Spooning Sex

While we did mention face-to-face sex being the preferred way to have sex with a tilted uterus, spooning sex is an exception. This is because, when you’re lying on your side, you are able to control the depth of penetration. It’s also great for more sensual sex, as it’s almost as if you’re cuddling. And, if you’re up for clitoral stimulation, your partner can reach around or you could simply DIY with your hand or your favourite sex toy. 

Spider Sex

It may sound strange, but it’s actually entirely delicious, and offers skin-to-skin sensation without deep penetration. Why is it called the spider sex position? It gets kind of leggy! To practise it, find a sturdy surface and get down in a seated position, knees up, putting your weight on your arms. Then face your partner who will be in the same position. Once comfortable, scoot up closer to each other and enjoy a more shallow kind of penetration, perfect for those with a tilted uterus. The spider sex position is also great because it allows both partners to watch each other during ecstasy. 

Raised Hips Sex

If you’re living with a tilted uterus (or you don’t particularly like deep penetration), one simple action can help you—raising your hips. You can do this by placing a pillow under your butt and/or back, or raising them yourself. Either way, it’ll allow you to modify the intensity and depth of penetration.

And, now that you have a few sex positions that’ll prove more comfortable and pleasurable for those with a tilted uterus, we wanted to introduce you to some other ways to find sexual bliss with your partner. Aka, oral sex!

Oral sex is an excellent way to have fun with a lover as it doesn’t require any penetration at all. Giving and receiving oral is a great way to get off, and it can be made even more intense and sexually satisfying when sex toys and different lubes are added into the mix! 

Why not try something new like an edible flavoured lube, or a Smart Wand for extra stimulation during your oral sex adventures? Or, use your imagination and explore all the other ways you can have fun without penetration! The sky’s the limit!

Wishing you all kinds of fun, comfort, and sexual pleasure!