Retroverted Uterus: Causes, Symptoms, and What to Expect

Question
After presenting to my OBGYN with ongoing pelvic pressure and discomfort, rectal pressure and urinary pressure & urgency it was found on ultrasound that my uterus is retroverted. I was told this is the cause of my symptoms. I wasn't born with it. It didn't happen during pregnancy (I had an ultrasound when my child was 1 due to pain and the uterus was in normal position). So why now?

This question wasn't answered during my appointment. I was told to let my OBGYN know when my decision was final not to have anymore children and at that point my uterus would be removed. There was mention of another procedure but I was told it isn't very effective and could mess with fertility.

Any other options? Should I push for further evaluation? See another OBGYN for a second opinion? I can't imagine living with these worsening symptoms for the next 5 years while we decide whether or not we want another child. All of the pelvic and rectal pressure makes me feel as if my insides are being pushed out.

I had a c-section 4 years ago. I've had pelvic discomfort along with heavy bleeding and painful menstruation ever since. Prior to conceiving I was on birth control pills. Never restarted the pills after delivery. Do I need a laparoscopic exam prior to deciding on removal of the uterus? Could something else be done? I'm assuming endometriosis or adhesions of some sort could be the culprit since I was not informed of any fibroids being found on the ultrasound.

Thanks in advance for your time!

Answer
A retroverted  (tipped backwards) uterus isn't causing your symptoms.  Many women have a retroverted uterus, and for many it can change from backward and forward to back again.  The pressure and discomfort may be caused by prolapse, which is a loss of pelvic support with the uterus and other pelvic organs dropping.  If your uterus is retroverted and fixed, that may suggest endometriosis, especially with your painful menstruation and pelvic discomfort.  A lapraoscopy at some point may be a good idea, since if you have a hysterectomy but leave the ovaries, endometriosis pain may continue.  I would suggest a second opinion.