Most women have a cervix that tilts forward; mine is different, as my cervix tilts backward, towards my spine rather than my bladder. The condition isn’t dangerous; other people have an odd cervix, too, but it can cause some discomfort during sex.
Read more: How Does a Tilted Cervix Affect Your Health, Fertility, and Pregnancy?
Over time, I’ve tried different sexual positions to find out what works best for me and my tilted cervix. I’ve discovered some of the more adventurous rear-entry positions can be tricky, and deep thrusting can cause tenderness.
Apparently, the discomfort stems from pressure on the cervix and the stretching of ligaments.
Thankfully, I’ve discovered there are quite a few positions that work well, so allow me to share 6 sex positions for a tilted cervix.
Modified missionary
Let’s start with the tried and tested missionary. Some people moan about this position, calling it dull. I beg to differ, I find missionary to be versatile, as you can tweak how you do it, which suits my tilted cervix perfectly.
The basics are still the same. I lie back and beckon my lover, smiling at him as he takes his place between my legs. Comfort is key to me, so I place a pillow beneath my hips for extra support. The pillow lifts my lower half slightly, which helps with my positioning.
I don’t spread my legs wide for this version of the missionary. Instead, I open them enough for my guy to get inside comfortably. When my lover thrusts, I find the modified missionary makes it feel less full on, enabling me to fuck for longer.
Call me an old romantic, but I also love this position as we get to look each other in the eye. I get to be close to my lover, and with our bodies touching, we get to move in unity.
Sensual spoons
Who doesn’t love a cuddle? I’m a big fan of getting snuggly with my partner, especially on a chilly winter evening. That’s probably why sexy spoons is one of my favorite sexual positions.
Spooning is so intimate, as we get to touch each other and caress as we make love. My guy can use his fingers to gently tease my clit, rubbing it delicately until I’m moaning with pleasure.
Sex toys can be fun too, and I have a couple of naughty gadgets that regularly make an appearance when we’re making out.
This one is ultra-comfy for those with a tilted cervix. I know it’s a rear entry position, but spoons are soothing and the motion is more of a gentle rock than a rough roll. My lover can get right behind me and ease himself in, keeping the pace steady while we bring each other to orgasm.
Sexy sidewinder
This one is reminiscent of the traditional spoons, but instead of your lover mooching in behind you, he lies facing you.
The sexy sidewinder or side-by-side position allows for closeness, so you can hold one another closely and share tender kisses. I like to close my legs together once we are in position, wrapping myself around his cock for a satisfying tightness.
I find the sidewinder complements my tilted cervix well, as it allows us both to control the pace and intensity. The thrusts don’t have to be deep; we’re so close together that the smallest of movements tends to sate my passion.
We’ve used this position a few times for foreplay, before moving on to something else, but the sidewinder is also great for the main event.
My friend swears by this position as she has limited mobility, but she adds an extra bit of spice by asking her lover to pop a butt plug in her ass.
The feeling of fullness seems to work wonders for her, and I’ve since read that it can help the cervix to tilt forward, so it’s definitely something I’m going to try.
Dirty doggy
Having a tilted cervix doesn’t mean you can’t engage in rear-entry sex; it just means you have to change things up slightly to make it more comfortable.
The thrusting and penetration can be intense when you do doggy, but I counter this by keeping my back arched. Shoving my butt into the air also seems to keep the intensity at a moderate level, so I can enjoy the feeling of him inside me, rather than wince with pain.
Cute cowgirl
My cervix might be tilted, but that won’t stop me from going for a ride. Climbing on my man gives me a sense of control, and that turns us both on.
I like to push him back so he’s lying flat on the bed. I spend plenty of time teasing and tormenting him by running my nails along his bare chest and inner thighs.
I also use my lips and tongue to kiss, making sure I pay special attention to his cock and balls. As the sexual tension builds, I usually shimmy up the bed until my thighs are straddling his face.
There, I’ll lower my wet pussy onto his mouth so he can lick me out, until I’m ready to shimmy back down and ride his rock-hard cock.
Read more: 20 Ways to Increase Your Pleasure in ‘Cowgirl’ Position
Racy reverse cowgirl
The reverse cowgirl can be a winner too, as I get to be in charge of the depth of penetration. As I’m on top, I can manage the pace and intensity, so I’m not worrying about the thrusts being too harsh.
I support myself more by resting my torso on my lover's legs when we’re fucking this way. If I do this, my butt lifts slightly, providing a better angle to suit my tilted cervix.
The best position for a tilted cervix
If you want to enjoy good sex with your partner (whether you have a standard cervix or a tilted one), communication is key. Talk to each other about what feels good, and don’t be afraid to give pointers.
A tilted cervix doesn’t have to slow you down, and it provides you with the perfect opportunity to experiment sexually. Just find what’s good for you and go for it.
Frequently asked questions about a tilted cervix
What sex position hurts with a tilted uterus?
There isn’t one universal position that always hurts, but positions that allow deep, direct penetration (for example, certain angles of doggy-style or deep missionary) can hit the cervix and cause discomfort if your cervix sits tilted. Pain varies by person and by the exact angle of the cervix-if a position causes sharp or persistent pain, stop and try a different angle or shallower penetration.
What is the best sex position to reach the cervix?
If the goal is deeper contact with the cervix, positions that orient the pelvis for deeper entry-such as doggy-style or missionary with hips elevated-are more likely to make contact. Keep in mind anatomy varies widely, so what reaches one person’s cervix may not reach another’s. Communicate and go gently if you’re experimenting.
Does a tilted cervix feel different during sex?
Some people notice a different sensation-anything from a feeling of being “hit” or pressure to mild discomfort-while others don’t notice any difference. Sensation depends on individual anatomy, the partner’s thrusting depth, and muscle tension. If you feel pain rather than pressure or pleasure, adjust or stop and try a different approach.
What to do with a tilted cervix?
A tilted cervix is usually a normal anatomical variation and often needs no treatment. If it causes pain, bleeding, or interferes with sex or exams, see a healthcare provider for evaluation. Non-surgical measures (changing positions, pelvic floor physical therapy, pain management) often improve symptoms. Always seek medical advice for persistent or severe symptoms.
Which sex positions work best for a tilted cervix (modified missionary, spoons, cowgirl, doggy-what’s worth trying)?
For avoiding cervix contact: woman-on-top (cowgirl) and side‑by‑side (spoons) allow the receiving partner control over depth and angle, and are often comfortable. Modified missionary with the receiving partner’s knees bent or partner on their knees rather than legs flat can reduce depth. Doggy-style can be uncomfortable for some because it may lead to deeper contact; if you want to try doggy, adjust angle and depth carefully. Experiment to find what feels best for you.
How can I tweak positions-pillows, pelvic angle, lubrication or toys-to avoid cervix pain and make sex more comfortable?
Small adjustments can help a lot: use pillows under the hips to change the pelvic tilt, favor shallower thrusting, and choose positions that give the receptive partner control (e.g., woman-on-top). Generous lubrication reduces friction and discomfort. If using toys, choose smaller sizes and test depth slowly. Pelvic floor relaxation techniques and longer foreplay can reduce tension. If pain persists despite adjustments, consult a healthcare provider or pelvic floor physical therapist for tailored advice.