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Birla Fertility & IVF

Bulky Uterus: All You Need To Know

  • Published on August 23, 2022
Bulky Uterus: All You Need To Know

The uterus is a tiny reproductive organ that plays a key role in enabling females to menstruate, reproduce and nourish the fetus until the process of childbirth. It has an upside-down pear-like shape, and plays an important function in the reproductive system.

At times, it can swell up to two to three times the normal size of the uterus, resulting in a condition known as bulky uterus or adenomyosis.

Let’s learn get into more details about bulky uterus.


What is a bulky uterus?

The regular dimensions of the uterus are between 3 to 4 inches by 2.5 inches, roughly the size of a small fist. When the size of the uterus increases, then it results in a condition known as bulky uterus.

It indicates a swelling of the uterine wall, which makes it looks larger than its usual size.

There are certain times when the size of the uterus will increase naturally. These include pregnancy, which is a normal occurrence. This is because the fetus inside the uterus needs to grow, so the uterus must go with it to protect and nourish it.

However, sometimes the uterus becomes larger without the occurrence of pregnancy. This can escalate into a serious condition and may impact fertility and the ability to get pregnant.

Typically, it results in creating a feeling of heaviness in the pelvic region and can result in bleeding.

Here’s a look at more comprehensive symptoms.


Bulky uterus symptoms

The bulky uterus manifests multiple symptoms, which can also overlap with other conditions associated with the female reproductive system.

Here are some bulky uterus symptoms that you should be alert to:

  • Menstruation gets impacted; you might experience painful stomach cramps and heavy bleeding, which can lead to anaemia
  • You may experience swelling and cramps in the legs and backaches
  • A feeling of pressure in the areas around the uterus
  • After reaching menopause, one can still experience bleeding
  • A vaginal discharge
  • Physical pain during sexual intercourse
  • Frequent and quick urge to urinate
  • Pain during sexual intercourse
  • Weight gain and mass around the lower abdomen
  • Acne and excessive hair growth
  • Breasts may feel abnormally tender
  • Constipation, and in some cases, an urge to urinate, frequently
  • The skin can become pale
  • Experiencing fatigue and weakness

Reach out to your medical care provider to get access to the right diagnosis and treatment if you experience these symptoms.


Bulky uterus causes 

There are several triggers for a bulky uterus. Here is a list of occurrences leading to a bulky uterus.

  • Surgery involving the uterus

During surgeries like cesarean section, an incision is made in the uterus. Another type of surgery involving the uterus is the removal of fibroids or tissue growths in the uterus.

Such surgeries can cause the uterus to swell, resulting in a bulky uterus.

  • Inflammation of the endometrial lining

During and after childbirth, the uterine lining, also known as endometrium, may become inflamed, i.e. cells from the inner layer of the uterus may become embedded in the muscular layer of the uterus. They can lead to the entire uterus swelling.

  • Developmental issues

When the female fetus is being formed in the womb, sometimes the endometrial tissue may get deposited within the uterine muscle. In later years, this can lead to adenomyosis or a bulky uterus.

There is also a speculated theory that stem cells from the bone marrow may invade the uterus and lead to a bulky uterus.


Diagnosis of the bulky uterus

Your medical caregiver will do a physical examination of the pelvic area to determine if there is swelling and if there is a need for further investigation.

If there is a swelling in a uterus, they will ask you to get an ultrasound done to rule out any potential tumours. If it is inconclusive, they may ask for Magnetic resonance imaging (MRI) of the uterus, which offers high-resolution images.


Bulky uterus treatment 

There are several potential treatments. It is important for your medical care practitioner to also take into consideration your fertility goals and recommend treatment accordingly.

Your doctor may recommend anti-inflammatory medications to reduce the inflammation and physical, except if you are pregnant.

They may get you started on hormone medications such as birth control pills, which contain estrogen and progesterone hormones, or hormone patches.

In some cases, they might advise a hysterectomy if your safety is compromised. However, your fertility goals will also be a consideration in this case.

In some cases, the uterine lining will need to be removed through a procedure known as endometrial ablation.

This is a minimally invasive procedure used to destroy the endometrial lining as a way to reduce heavy bleeding, one of the bulky uterus symptoms.

Another approach is to cut off the blood supply to the uterus via uterine Artery Embolization, which helps to shrink the size of the uterus.



Your medical practitioner needs to recommend the right bulky uterus treatment so that neither your health nor fertility goals are compromised. Approaching a good fertility specialist can also help you address it carefully.

To seek the best treatment for infertility concerns, visit Birla Fertility and IVF, or book an appointment with Dr Prachi Benara.


FAQs :

1. What is the normal size of the bulky uterus?

It is about 3 to 4 inches by 2.5 inches. Sometimes women can experience a bulky uterus, meaning enlargement to two to three times its normal size.


2. How can I reduce my bulky uterus naturally?

Your doctor will prescribe some anti-inflammation medication to reduce it uninvasively.


3. What happens when the uterus is bulky?

A bulky uterus grows to about two to three times the size of a normal uterus. Bulky uterus symptoms are evident easily such as heavy bleeding during periods, backaches, swelling and cramps in the legs, pain during sexual intercourse, and stomach cramping. It can also lead to acne, excessive hair growth, and fatigue. One may feel the urge to urinate excessively.


4. Is a bulky uterus a serious problem?

It depends on the size of the swelling and the related symptoms. It can sometimes affect the menstrual cycle and lead to infertility issues. In such cases, it is advisable not to delay visiting a fertility specialist to get the right diagnosis and bulky uterus treatment.

Written by:
Dr. Prachi Benara

Dr. Prachi Benara

Dr. Prachi Benara is a fertility specialist known for her expertise in advanced laparoscopic and hysteroscopic surgeries, addressing a wide range of conditions including endometriosis, recurrent miscarriage, menstrual disorders, and uterine anomalies like uterine septum. With a wealth of global experience in the field of fertility, she brings advanced expertise to her patients' care.
Over 14+ Years of Experience
Gurgaon – Sector 14, Haryana

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