###Human: Does tilted uterus mean womb shift? ###Assistant: Hi I would like to know about the mode of delivery of your son w.r.t a vaginal birth or a caesarean section. If it was a caesarean section it would have been better for your health for another year. Regarding your second query spilling of a small amount of sperm outside is not an issue as long as a part of it deposited high inside the vagina also. Please attach all your previous scan and blood reports including the one which mentioned the tilt and mention whether your periods are regular or not. Meanwhile follow the advises below. Tablet Folic acid (5mg) 1 tablet once daily after lunch to continue.