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Your uterus (or womb) is normally held in place inside your pelvis with various muscles, tissue, and ligaments. Because of childbirth or difficult labor and delivery, in some women these muscles weaken.
With severe retroversion or retroflexion, the uterus is pulled to the back of the body to the point that the cervix is pulled onto the anterior (top) wall of the vagina. For the opposite (and less symptomatic) position of severe anteversion or anteversion, the uterus would be found more on the posterior (bottom) wall.