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Ditto to what @mrskc: said.

I was told I have a tilted uterus at my 10 week appointment and I was worried and the doctor said it is fine and shouldn't effect anything. They didn't tell me anything about it straightening out or causing pain.

I had pretty bad morning sickness and I remember I had pains off and on but I always thought it related to morning sickness... never worried about my tilted uterus at all!

I don't have a tilted uterus, but had more cramps and mysterious pains around that time - sounds normal to me!

I have a tilted uterus & I was a little crampy at the end of the 1st trimester but no one ever suggested it was related to my uterus position.

@mrs. 64: I do. My OB never said it would untilt itself or mentioned pain. She basically said it was tilted but not to worry. I do remember having pain but I think what I felt, and what you're describing is much more likely to be round ligament pain and other "growing pains" of the first trimester.
I even remember my OB saying I was still tilted when she'd do my weekly cervical checks at the end of my pregnancy.