Fertility: Concerns About Conceiving with Uterine Tilt - Obstetrics and Gynecology

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I want to get pregnant, but I feel like the chances are not very high?


Hello doctor, I have a mild congenital retroverted uterus and mild endometrial thickening.
I had sexual intercourse on April 22, and there was confirmed ejaculation inside.
Afterward, I felt a strong urge to urinate, so I went to the bathroom.
After urinating, I lay on my side in bed for two hours before getting up to take a shower.
My menstrual period ended on April 15, so this intercourse occurred during my safe period.
Is it unlikely that I will become pregnant this time? Did it all go to waste? My menstrual cycle is about 30 days, lasting approximately seven days.
When is the earliest I can take a pregnancy test? Additionally, I would like to ask why I always feel a pulling sensation in my abdomen after ejaculation.
Does this make it more difficult for the semen to remain inside my body, thereby reducing the chances of successful conception? Thank you.

Amber, 30~39 year old female. Ask Date: 2016/04/26

Dr. Lin Wenbin reply Obstetrics and Gynecology


Hello: Regarding your question, it is necessary for you to visit the outpatient clinic and discuss it in detail with a physician after undergoing an examination in order to receive accurate advice.
Thank you.

Reply Date: 2016/04/26

More Info


When it comes to understanding fertility and the concerns surrounding conceiving with a tilted uterus, it’s important to address several aspects of your situation. First, having a mildly tilted uterus, also known as retroverted uterus, is quite common and generally does not affect fertility or the ability to conceive. Many women with this condition have healthy pregnancies and deliver without complications.
Regarding your recent sexual activity on April 22, which occurred shortly after your menstrual period ended on April 15, it’s essential to understand your ovulation cycle. A typical menstrual cycle lasts about 28 to 30 days, with ovulation occurring approximately 14 days before your next period. Given your cycle length, you would likely ovulate around day 14 to 16 of your cycle, which would be around April 29 to May 1. Since you had intercourse before your expected ovulation, there is a possibility of conception, as sperm can survive in the female reproductive tract for up to five days. However, since you are in the early part of your cycle, the likelihood of conception from this encounter is lower compared to if you had intercourse closer to your ovulation window.

As for when you can take a pregnancy test, it is generally recommended to wait until at least the first day of your missed period for the most accurate results. If your cycle is around 30 days, you can expect your next period around May 15. Therefore, testing around that time or a few days after would provide a more reliable result.

Regarding the feeling of heaviness or a pulling sensation in your abdomen after ejaculation, this can be attributed to several factors. It may be related to the natural response of your body to sexual arousal and orgasm, which can cause contractions in the uterus and surrounding muscles. This sensation is typically normal and should not significantly impact the ability of sperm to reach the egg. The position you choose during intercourse can also play a role; some positions may facilitate deeper penetration, which can help deposit sperm closer to the cervix.

In terms of whether urinating immediately after intercourse affects your chances of conception, it is important to note that while urination can expel some sperm, it does not completely eliminate the chances of conception. The sperm that are deposited in the cervix and uterus are less likely to be affected by urination. Additionally, lying down for a period after intercourse, as you did, can help keep sperm in place, potentially increasing the chances of conception.

In summary, while a tilted uterus and the timing of your sexual activity may raise concerns, they are not significant barriers to conception. If you continue to have concerns about your fertility or experience any unusual symptoms, it is advisable to consult with a healthcare provider or a fertility specialist who can provide personalized guidance based on your medical history and current health status. Remember, many factors contribute to fertility, and understanding your body’s cycles can empower you in your journey toward conception.

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