Most people with tilted uteruses are born with the condition, but you might find yourself with a tilted uterus after pregnancy or childbirth, which can shift the position of the uterus. However, if you are feeling some discomfort, pressure, or a dull ache during sex, a tilted uterus might be why. How to Make Sex With a Tilted Uterus More EnjoyableThe first defense for people with a tilted uterus—or anyone who experiences discomfort with deep penetration—is pelvic floor physical therapy, says Stein. A typical pelvic floor physical therapy appointment may look like strengthening and relaxing the pelvic floor through manual release (a.k.a. Worth noting: While these interventions can create meaningful changes in pelvic floor function, specialized pelvic floor therapy may not be accessible for everyone.