Yes, women with a retroverted uterus, meaning one that tilts backward, can use a menstrual disc. However, depending on individual anatomy, inserting a menstrual disc may be more or less challenging, particularly when the cervix is tilted backward and positioned close to the vaginal wall.
What is a retroverted uterus?
A retroverted uterus is simply an anatomical variation where the uterus tilts backward toward the rectum instead of being positioned forward toward the bladder. This is a common condition, affecting approximately 20 to 30% of women, and generally doesn't cause any health issues. Only a healthcare professional can confirm whether you have a retroverted uterus.
Is it possible to use a menstrual disc with a retroverted uterus?
A menstrual disc is not incompatible with a retroverted uterus, but it's actually the orientation of your cervix that affects menstrual disc use.
When you have a retroverted uterus, your cervix follows this orientation and may be positioned more or less close to your posterior vaginal wall. The more your cervix tilts backward, the less space you'll have to position your disc behind your cervix. In this case, the disc may not work for you, as it will be too difficult to insert properly and therefore won't be able to collect your menstrual flow.
However, if your cervix is less tilted backward, you'll have enough space to position your disc behind your cervix. You can then use a menstrual disc, but you'll need to adjust the insertion technique so it sits correctly beneath your cervix.
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How to insert a disc with a retroverted uterus?
- Fold the disc in half to form a figure-8 shape to make it narrower.
- Insert the disc into your vagina, angling downward toward your tailbone and rectum, until you reach just below your cervix.
- Position the disc so that the back rim sits behind your cervix and the front rim tucks behind your pubic bone.
- Ensure your disc is properly positioned by checking with your finger that there are no gaps between your vaginal walls and the disc rim.
Is there a risk of leaks when wearing a disc with a retroverted uterus?
A properly positioned menstrual disc should not leak even if you have a retroverted uterus. However, the disc may be more difficult to insert with a backward-tilted cervix, so make sure your disc is properly positioned beneath your cervix. That said, if you notice leaks after correctly positioning your disc, it means your menstrual product isn't the right size. Check out our guide on menstrual disc leaks for more information on this topic.
The menstrual cup, an alternative to the menstrual disc with a retroverted uterus
If you have a retroverted uterus and your cervix tilts backward, a menstrual cup is generally better suited than a menstrual disc.
A menstrual cup sits lower in the vagina. It opens and creates a seal by suctioning to the vaginal walls. Regardless of your uterus orientation, this cup collects menstrual flow perfectly as long as it's the right size, positioned correctly, and emptied regularly.
Frequently asked questions about menstrual discs and retroverted uterus
Is the menstrual disc suitable for very heavy flows with a retroverted uterus?
Yes, the menstrual disc can handle heavy menstrual flows, even with a retroverted uterus. Its capacity is approximately 5 times greater than tampons and about double that of a menstrual cup, and it can be worn longer thanks to its self-emptying feature.
Can using a menstrual disc cause additional lower back pain with a retroverted uterus?
No, a menstrual disc should not cause additional lower back pain. If you experience pain, check the disc's position and adjust it if necessary.
Can you use a menstrual disc after pregnancy if you have a retroverted uterus?
Yes, after pregnancy, it's perfectly possible to use a menstrual disc, which is actually very popular among mothers. A properly positioned disc is generally imperceptible and collects blood perfectly, even with heavy menstrual flow. It can also be worn longer than other menstrual products because it has greater capacity and features self-emptying capability that allows you to empty it without removal. However, it may be necessary to wait a few weeks to allow the uterus to return to its normal position.
Are there risks of irritation or infection from using a menstrual disc with a retroverted uterus?
No, as long as the disc is inserted correctly and you follow proper hygiene practices, there's no risk of irritation or infection, regardless of uterus orientation.
Can you wear a menstrual disc overnight with a retroverted uterus?
Yes, you can wear a menstrual disc at night. Just make sure it's properly positioned to avoid any discomfort or leaks.
Can a menstrual disc cause discomfort during intercourse with a retroverted uterus?
No, if the disc is properly positioned, you shouldn't feel it during intercourse. If you experience discomfort, adjust it manually.
