Tilted Uterus & Menstrual Cup Use

The uterus is the size and shape of a small pear, weighing around 113 grams. It is positioned upright with the cervix at its base. The uterus sits between the bladder and the rectum and has enough room to swell up to twice its normal size during menstruation and can carry a baby without affecting its neighbours. The muscles and ligaments of the pelvis provide a safe environment for the uterus to perform its functions effectively. When this perfect environment is compromised the uterus can change in position. This can be caused by a number of things including stress, an accident or trauma, childbirth, etc.

The various possible positions of the uterus are as follows:

Retroflexed (tipped towards the rectum and folded over)
Retorverted (tipped towards the Rectum)
Anteflexed (tipped towards the bladder and folded over)
Anteverted (tipped towards the bladder)

Uterus Images My Cup NZ Ltd

Some of the symptoms of a “tipped”, “tilted” Uterus can include:

  • Painful mestruation and Ovulation
  • Irregular Menstrual Cycles
  • Menstrual Cycles that contain clots and are dark in colour
  • Hormone Imbalances
  • Chronic lower back pain (especially during menstruation)
  • Chronic Constipation
  • Chronic Bladder u0026amp; Yeast Infections
  • Endometriosis, Ovarian Cysts and Polyps
  • Fertility problems and miscarriages
  • Unexplained pelvic pain.

Some of these symptoms are considered “normal” but could be caused by having a “tipped” or “tilted” Uterus. Most of the time it doesn’t matter where your uterus is, especially if you do not have any of the symptoms we have mentioned above. But for those who experience severe symptoms the knowledge of the position of their uterus is very important.


Every persons body is different so no one rule applies to all. Many people with “tipped” or “tilted” uteruses find using a cup easy. It really can depend on how much your uterus is tipped either forwards or backwards. Most people find that when they have a more severely tipped uterus they will have to practice which angle wil suit them most when the cup is inserted. This can take a few cycles to get used to.

When inserted correctly the cup should not cause any type of discomfort. If you insert the cup too deep the cup can position itself next to the cervix which will feel very uncomfortable. The menstrual cup needs to be sitting beneath the cervix for optimal comfort. You may need to remove the cup, rinse and reinsert to get it at the angle that suits you.

If the stem of the menstrual cup is hanging too low them you may want to consider trimming the stem to a more suitable length for your needs.

If you are unsure please contact your healthcare professional for more advice.

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