In clinical practice, a retroverted uterus should not be dismissed as a mere anatomical variation but instead be seen as a potential indicator for further investigation, particularly in patients with unexplained pelvic pain or infertility. The incidental finding of a retroverted uterus should serve as a warning sign of endometriosis and lead to the earliest possible diagnosis.This can prevent the development of advanced clinical conditions that would inevitably require non-conservative and radical treatments, therefore impacting both the woman's fertility and her overall quality of life, since the relationship between endometriosis and infertility, although not fully defined in terms of cause and effect, is widely recognized in the clinical field and supported by scientific literature [10].