Everything You Need to Know About Bulky Uterus 

Uterine health is vital for a woman’s overall well-being. The uterus nurtures the embryo and provides a safe environment for the baby to grow. Also called the womb, the uterus is quite flexible and naturally expandable. However, an unusually enlarged or bulky uterus without a pregnancy is a cause of concern and warrants medical attention. Primarily because it increases the risk of pregnancy failures and cancer in the patient. 

What is a Bulky Uterus? 

Medically, the uterus for a non-pregnant woman of reproductive age is around 8 cm in length, 5 cm in width, and 4 cm in thickness. Slight variations during periods are considered normal. Its volume may range from 80 ml to 200 ml. However, certain conditions, hormonal imbalances, and diseases of the reproductive system may result in a bulky uterus. 

Causes of a Bulky Uterus 

The common reasons for a bulky uterus are: 

Hormonal Imbalance 

Elevated estrogen levels may cause the uterus to grow larger than normal size and becomes bulky. It may happen due to undiagnosed disorders, such as PCOS. 

Fibroids 

Fibroids are non-cancerous growths on the inner lining of the uterus. While these growths are usually small in length and do not impact the uterus’ size, fibroids may be large enough to cause an expansion. 

Adenomyosis 

In Adenomyosis, the tissue that lines the uterus from the outside grows in its muscle layer. The lack of an outer lining may cause enlargement of the womb, resulting in a bulky uterus. 

Endometrial Hyperplasia 

Excessively thick uterine lining during the follicular phase may cause a bulky uterus. 

Pregnancy 

The only condition where uterus bulking is desirable is pregnancy. Your uterus may grow up to 20 times while nurturing a baby! The uterus eventually returns to usual size after birthing. 

Pelvic Inflammatory Disease (PID) 

Sexually transmitted diseases, reproductive conditions, or aggressive treatments for certain conditions may cause inflammation in the internal organs of the pelvic region. This condition is called PID. It is a common cause of acquired infertility. However, it can be treated with antibiotics under the guidance of a fertility specialist. 

Pyometra 

Collection of the pus in the uterus may extend the walls and thin the lining of the uterus. It occurs due to an infection and narrowing of the cervical opening that prevents the pus from exiting during periods. 

Symptoms of a Bulky Uterus 

A woman with an enlarged uterus may experience one or more of the following symptoms: 

• Irregular periods or heavy menstrual bleeding 

• Pelvic pain and cramping 

• Postmenstrual bleeding, vaginal discharge, and bloating 

• Frequent urination 

• Constipation 

• Painful intercourse 

• Heaviness in lower abdomen, and palpitations in the region 

• Skin paleness and general 

It is best to consult a specialist if you have experienced the above symptoms or know someone who has. A comprehensive examination can prevent the condition from worsening and start the treatment as early as possible. In the case you failed to get pregnant, consulting a fertility doctor may help you eliminate uterine expansion as a cause and identify the actual reason. 

Diagnosis of a Bulky Uterus 

The doctor will conduct a physical exam and discuss your medical history to determine the possibility of a bulky uterus. They may ask you about the symptoms and the time since when you have been observing them. Some of the diagnostic tests the fertility specialist may prescribe include: 

Ultrasound 

Usually, the diagnostician uses a transvaginal ultrasound. It may take two sessions to evaluate, depending on the point in your menstrual cycle when you visit the doctor.   

Hysteroscopy 

In this procedure, the diagnostician inserts a thin and lighted flexible tube through the vagina to take a closer look at the inner lining of the uterus. It is painless, though some discomfort is normal due to the probe entering the uterine wall. But it shouldn’t last long. 

MRI 

MRI shows the exact areas of the thickening of the uterine wall or enlargement. This helps the doctor gauge whether the thickening is uniform or localized. 

Your doctor may also prescribe certain blood tests to identify the exact cause of expansion and treat the condition adequately. 

Treatment Options for a Bulky Uterus 

Depending upon the symptoms, causes, and extent of the condition, your specialist may prescribe one or more of the following treatments: 

Hormonal Therapies 

Specialists use hormonal supplements when uterus bulkiness is due to hormone imbalances. 

Pain Relievers 

These medicines may help with the symptoms but do not directly treat the condition. 

Uterine Artery Embolization 

It is a minimally invasive procedure to lower the blood supply in the affected region of the uterus and, hence, cause it to shrink. 

Surgical Treatments 

Depending upon the severity of the case, specialists may prescribe a Myomectomy (removal of fibroids) or Hysterectomy (removal of uterus). Your medic may also recommend certain home remedies to reduce symptoms. They may also ask you to include lifestyle changes to prevent the condition from recurring, such as nutritional balancing, stress management, and regular exercise. 

Conclusion 

A bulky uterus may present symptoms much later than the condition begins because of its slow rate of development. However, benign or malignant, it is treatable and often does not impact the patient’s fertility. It’s best to consult a specialist if you are experiencing any of the symptoms or have been trying to get pregnant for over 6 months.  

FAQs 

Q: Is bulky uterus a serious problem? 

A: A bulky uterus can be a serious concern as it may indicate underlying conditions that need medical attention. While the uterus is naturally flexible and can expand during pregnancy, an enlargement without pregnancy could signal issues like hormonal imbalances, fibroids, adenomyosis, endometrial hyperplasia, or pelvic inflammatory disease (PID). These conditions not only affect uterine health but can also increase the risk of infertility and, in some cases, cancer. It’s crucial to consult a specialist if you experience symptoms like irregular periods, pelvic pain, or heavy menstrual bleeding to prevent the condition from worsening and to begin appropriate treatment. 

Q: Does bulky uterus cause weight gain? 

A: A bulky uterus itself does not directly cause weight gain. However, the underlying conditions that lead to a bulky uterus, such as hormonal imbalances, fibroids, or adenomyosis, may contribute to changes in body weight. Hormonal imbalances, for instance, can affect metabolism and appetite, potentially leading to weight gain. It’s essential to address the root causes of a bulky uterus with the help of a specialist to manage any associated symptoms, including weight changes. 

Q: Can menstruation cause bulky uterus? 

A: Menstruation alone does not cause a bulky uterus. While slight variations in the size and volume of the uterus during menstrual cycles are normal, significant enlargement typically results from other factors. Conditions such as hormonal imbalances, fibroids, adenomyosis, endometrial hyperplasia, or pelvic inflammatory disease can lead to a bulky uterus. If you notice symptoms like heavy menstrual bleeding, pelvic pain, or irregular periods, it’s important to seek medical advice to identify and treat any underlying conditions.