- With Mayo Clinic internist
Sandhya Pruthi, M.D.
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Sandhya Pruthi, M.D.
Sandhya Pruthi, M.D.
Dr. Sandhya Pruthi, certified by the American Board of Family Practice, has been practicing medicine at Mayo Clinic since 1995 with special interests in breast diseases and women's health.
She is a consultant in the Department of Internal Medicine, Division of General Internal Medicine, and the Breast Diagnostic Clinic. She is an assistant professor of medicine at Mayo Clinic College of Medicine in Rochester, Minn.
The Winnipeg, Manitoba, native stresses education and patient-related research and has been active in both areas since joining Mayo Clinic. She is the primary investigator at Mayo Clinic of several clinical trials evaluating new agents for the prevention of breast cancer and identification of biomarkers for early detection of breast cancer. Her other research and clinical interests include managing the health of women who are at increased risk of breast cancer, breast pain and hot flashes, and developing patient education decision-making tools for breast-related concerns. She is director of the Breast Diagnostic Clinic and is a member of the Women's Health Executive Committee. Dr. Pruthi has been newly elected as a member to the board of directors for the American Society of Breast Disease. She has assisted with a variety of articles for MayoClinic.com.
"Having an opportunity to share information with my patients in the way that will help them to understand and be able to make educated decisions about their own health is very important to me," she says.
"The Web has become a major information site for people, and I want them to get the best and accurate information to be able to make informed choices for themselves, their family members and friends."
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Question
Tilted uterus: Can it lead to infertility?
Does having a tilted uterus make it more difficult to conceive?
Answer
from Sandhya Pruthi, M.D.
A tilted uterus, also called a tipped uterus or retroverted uterus, is a normal anatomical variation and shouldn't interfere with your ability to conceive.
In most women, the uterus tips forward at the cervix. In nearly 20 percent of women, however, the uterus leans backward, or tilts, at the cervix. In the past, it was thought that a tilted uterus may contribute to infertility. But experts now know that the position of the uterus doesn't affect the ability of sperm to reach an egg.
Rarely, a sharply tilted uterus may be due to a disease such as endometriosis. In this case, endometriosis — not the position of the uterus — may cause infertility.
- Lentz GM. Differential diagnosis of major gynecologic problems by age group: Vaginal bleeding, pelvic pain, pelvic mass. In: Katz VL, et al. Comprehensive Gynecology. 5th ed. Philadelphia, Pa.: Mosby Elsevier; 2007. http://www.mdconsult.com/das/book/body/115319498-7/787845435/1524/60.html#4-u1.0-B978-0-323-02951-3..50011-X--cesec12_247. Accessed Jan. 2, 2009.
- Haylen BT, et al. A standardized ultrasonic diagnosis and an accurate prevalence for the retroverted uterus in general gynaecology patients. Australian and New Zealand Journal of Obstetrics and Gynaecology. 2007;47:326.
- Haylen BT. The retroverted uterus: Ignored to date but core to prolapse. International Urogynecology Journal. 2006;17:555.
