Tilted cervix but not tilted uterus? - Endometriosis UK

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Tilted cervix but not tilted uterus?

Christin_a profile image
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Hello

I've tried googling an answer but can't find one. During a smear /colposcopy I was told that I have a tilted cervix, they explained this could be the reason why I have alot of pain when speculum are used. They they applied pressure one side of the speculum and the pain did ease quite a bit. But both my surgery report and ultrasounds state that I have an anteverted uterus, which is the normal /most common position?

I thought a tilted cervix would mean it would be retroverted. Its it possible to only have a tiled cervix but not the uterus? I'm going to have a merina coil fitted (under GA) hopefully in a few weeks and it's making me wonder if this is going to mean I'm at higher risk for it to perforate my uterus especially during insertion?

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luthien profile image
luthien

Anteverted uterus means it tilts forwards which is the normal position for most women.

I found a bit on tilted cervix from the AXA website: axappphealthcare.co.uk/health-information/womens-health/tilted-cervix/

"A tilted cervix in most cases is of genetic origin and is perfectly normal; however other factors may have caused the condition. It may cause back pain however in general it does not pose any medical issues unless you have other symptoms such as pain on intercourse or pain during menstruation.

A further examination by a gynaecologist would confirm any other underlying causes of your initial problem.

Treatment options are using a ring pessary to support the uterus and reposition the cervix, pelvic floor exercises also can improve internal positioning of the uterus."

I guess in that case ask for a referral to your gynaecologist, or they're putting in your coil perhaps they could investigate...

I'm not sure how it would work with a coil, perhaps as it's under general anaesthetic they'll be able to look at it. I can't see how it'd perforate the uterus as it's not designed in a way that could, the docs wouldn't have suggested it would be okay if it were not with your cervix. Perhaps it's worth checking to see if you can say if it looks all weird and difficult to put in, don't do it, but then you're under GA so there's no problems with it being painful during insertion

I guess it needs looking into by a specialist, sorry I can't help more x

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