Treatment for a retroverted uterus If a retroverted uterus is causing problems, treatment options can include: Treatment for the underlying condition – such as hormone therapy for endometriosis. Exercises – if movement of the uterus isn’t hindered by endometriosis or fibroids, and if the doctor can manually reposition the uterus during the pelvic examination, exercises may help. However, the medical profession is divided over whether or not pelvic exercises are worthwhile as a long-term solution. In many cases, the uterus simply tips backwards again. Pessary – a small silicone or plastic device can be placed either temporarily or permanently to help prop the uterus into a forward lean. However, pessaries have been linked with increased risk of infection and inflammation. Another drawback is that sexual intercourse is still painful for the woman, and the pessary may cause discomfort for her partner too. Surgery – using laparoscopic (‘keyhole’) surgery techniques, the uterus can be repositioned so that it sits over the bladder. This operation is relatively straightforward and usually successful. In some cases, the surgical removal of the uterus (hysterectomy) may be considered. Treatment options for incarcerated uterus – includes hospitalisation, the insertion of a urinary catheter to empty the bladder, and a series of exercises (such as pelvic rocking) to help free the uterus.