How does your uterus shift when you are pregnant?

Up, Out and Right!: In general, the uterus "grows" out of the pelvis by the start of the second trimester (14 weeks). Additionally, with ascent from the pelvis, the uterus usually undergoes rotation with tilting to the right (dextro-rotation), probably due to presence of the rectosigmoid colon on the left side. This adds to the symptoms of "soreness" at each side of the uterus called "round ligament" pain. This is qu.