Enlarged Uterus
Enlarged uterus is a common problem for women who are about to reach the phase of menopause. Leaf through this article to know enlarged uterus causes and symptoms.

Enlarged Uterus Causes
Fibroids: Uterine fibroids is one of the main and common cause of enlarged uterus. Statistics show that about 40-45% women suffer from the problem of uterine fibroids. Benign mass in the uterus is referred to as fibroid. Fibroids may be inside the uterus, outside the uterus or within the wall of uterus. There can be a single benign tumor or multiple number of fibroids at a time. A fibroid can be as small as a pea or as large as a melon. Enlarged uterus from fibroids can be sometimes asymptomatic. If the fibroids are small and if they do not cause any discomfort, then there is no need to remove the uterus surgically.
Cancer: Cancer of the endometrium or uterine cancer is the next common cause of enlarged uterus. Elderly women or women suffering from obesity are more likely to develop uterine cancer. Similarly, women on hormone replacement therapy, on breast cancer treatment or those having colorectal cancer are at higher risk of developing endometrial cancer. In case of cancer, enlarged uterus treatment involves hysterectomy (surgical removal of uterus). Another common cause of enlarged uterus is ovarian cyst.
Adenomyosis: The uterine wall is made up of two layers, the inner layer is thin and is known as endometrium while the outer layer is thick and muscular which is known as myometrium. When the endometrium starts growing within the muscular wall of myometrium, the condition is recognized as adenomyosis. This condition is generally benign but can cause painful symptoms. Women belonging to the age group of 30-50 and who have had children may suffer from adenomyosis. Adenomyosis treatment involves use of anti-inflammatory medicines and hormone therapy. Hysterectomy may be recommended for serious cases of adenomyosis.
Menopause: Menopause results in hormonal imbalance which can cause enlarged uterus. Hormonal imbalance can lead to excessive cell growth in the inner lining of the uterus resulting in thickening of the uterus. Certain diseases like diabetes, ovary related health conditions during menopause can lead to enlargement of the uterus.
Enlarged Uterus Symptoms
- Pain in lower abdomen, menstrual cramps, heavy bleeding during periods, passage of blood clots during menstruation and vaginal bleeding between periods are main adenomyosis symptoms.
- Mild to severe pain in the pelvis, heavy menstrual bleeding, pain during sexual intercourse, frequent urge to urinate, constipation, abdominal pain or pressure and lower backache are main symptoms of fibroids.
- Enlarged uterus caused by ovarian cysts can result in following symptoms: Pressure and pain in the abdomen, back pain, pain while urinating, painful menstruation, abnormal bleeding and breast tenderness.
- Vaginal bleeding between menstruation or after menopause indicates uterine cancer. Other symptoms include pain during intercourse, difficulty in urination, frequent abdominal pain, etc. Weight gain is also one of the main enlarged uterus symptoms.
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