I have a tilted uterus. No issues falling pregnant. The only issues I had was that with my first born, I had to have internals for the first 2 ultrasounds (first at 8 weeks, second at 12 weeks), at my 16 wk appt. I had an external without any issues. I was told to not worry if I didn't show so quickly because my 'bump' was towards the back-center. The uterus corrects itself as you get bigger, so there should also be no issues with delivery. My uterus went back to being tilted. At my last pap smear (almost a year ago) my doctor said "Oh, your uterus is tilted" and I said "yeah, I know" and she just said "Your paps must be very uncomfortable, I'll try to be as gentle as possible" - so I know my uterus didn't correct itself after the birth of my son. With #2, it's too early to see anything, but I don't expect to be showing anytime soon.