Author Name: Dr. Madhu Patil || Mentor Name: Dr. Akanksha Jangid on April 27, 2020

Uterus, also called as women’s womb, is a pear-shaped muscular organ of the female reproductive system. Uterus plays very important function of nurturing the embryo and carrying a pregnancy to term, and hence its role in conception and delivery is irreplaceable. Problems of uterus account for 3% to 5% cases of infertility.

What does a bulky uterus mean?

Normal dimensions of uterus ranges from 8 cm x 5cm x 4cm. Bulky uterus is a condition in which uterus is bigger in size than it is supposed to be.

What are the common causes of bulky uterus?

The two mostcommon causes of enlarged or bulky uterus in infertile patients are uterine fibroids and adenomyosis.
Fibroids – Also known as Leiomyomas, are non cancerous tumours of uterine muscles.

Adenomyosis -Is the globular swelling of the uterus which occurs if tissue that normally lines the uterus(endometrium) starts growing inside the muscular wall of the uterus.

What symptoms will I have if I have bulky uterus?

Symptoms will depend on the cause of bulky uterus. Fibroids generally cause menstrual problems and pressure symptoms if they are big in size. experience one or more of the following problems-

a) Heavy menstrual flow
b) Pain abdomen during menses
c) Heaviness in lower abdomen
d) Difficulty in conceiving
e) Miscarriage or premature delivery
f) Bowel and urinary problems like constipation or increased frequency of urination.

Adenomyosis usually causes painful periods(dysmenorrhea) which may or may not be associated with heavy bleeding. Few patients can experience chronic pelvic pain or heaviness in lower abdomen.

Some patients might not feel any symptom and presence of bulky uterus can be a surprise finding during a pelvic examination or an ultrasound.

How does a bulky uterus affect my chances of conception ?

Fibroids are found in around 20% of women of reproductive age group but all fibroids do not affect fertility. Few might affect fertility by following mechanisms-

a) Blocking ascend of sperms from vagina,
b) By blocking tubal opening,
c) Disturbed blood supply to uterine cavity,
d)Few fibroids can even lead to miscarriages and preterm birth.

Adenomyosis-

Women with adenomyosis have lower fertility. The reason behind this lower fertility is not very clear . Few studies suggest that adenomyosis might affects sperm transport. Others suggest that it makes the uterine environment hostile for growth and implantation of embryo.

How a bulky uterusis diagnosed?

Commonly the diagnosis is suspected by pelvic examination, when doctor finds that uterus is larger than expected. It is then confirmed by a transvaginal ultrasound(TVS). A vaginal ultrasound is done to note the size of the uterus and in most cases the cause can also be detected in the same sitting.

In few cases, doctor might advice you advanced imaging like MRI to confirm the diagnosis if deem necessary.

Can I conceive if I have bulky uterus?

The answer is YES.

Not all fibroids affect fertility. Many patients with fibroids conceive naturally. But in case you are suffering from infertility, and you have been diagnosed with fibroids in uterus, discuss with your doctor whether anything needs to be done for them or not.

Decision to treat a fibroid is taken after considering number, size and location of fibroids.

– Large fibroid causing pain, pressure symptoms or abnormal bleeding needs removal irrespective of its location.

– Submucous fibroids -are the ones that are near inner lining (endometrium) of uterus. These fibroids distort the uterine cavity and can cause complications in pregnancy also, so should be removed.

– Other than these two conditions, decision to treat or not to treat fibroid depends upon individual case scenario. Small fibroids, far away from the uterine cavity can be left untreated without compromising fertility.
For adenomyosis, unfortunately there is no permanent cure. However few medicines like aromatase inhibitors(Letrozole), dienogest and most frequently used GnRH(Gonadotropin Releasing Hormone) injections can temporarily decrease the severity of adenomyosis and help a women to conceive.

All you need to know about fibroids-

1. Most of the fibroids can now-a-days be removed by endoscopic surgeries – Either laparoscopy or hysteroscopy depending upon location of fibroids.

2. Very rarely, an open surgery in the form of laparotomy might be needed for fibroid removal, specially if the fibroid is very big.

3. A pregnancy can be attempted only 4-6 months after a fibroid surgery.

4. Medical management can sometimes be tried if the treating doctor decides the same.

5. Newer modalities of fibroid treatment like Uterine artery embolisation, MRI guided focus ultrasound surgery are not preferred in infertility patients. For infertility patients, surgery remains the first choice.

6. Fibroids almost never turn into cancer.

To sum up, if you have been diagnosed with bulky uterus, do not worry and consult your fertility doctor. Most of the women with bulky uteruses will need no or very little treatment. And with treatment, many of them will conceive.

You may also link with us on Facebook, Instagram, Twitter, Linkedin, Youtube & Pinterest

Talk to the best team of fertility experts in the country today for all your pregnancy and fertility-related queries.

Call now 18003092323

(Visited 1,606 times, 11 visits today)
guest
0 Comments
Inline Feedbacks
View all comments

RELATED BLOG

PCOS

PCOS Awareness Month – Everything You Need to Know about PCOS and its Prevention

Polycystic ovary syndrome (PCOS or...
Read More
IVF

A Complete IVF Guide: All You Need to Know About IVF

1. When to consult for...
Read More
IVF

Is Covid-19 Vaccination dangerous for pregnant women? Know the Benefits and Risks

What do we know today...
Read More
IVF

The Impact of Covid-19 on Pregnant Women & their Babies

Pregnant women and those in...
Read More
IVF

IVF Treatment in Covid-19 Age: Yes or No?

IVF in Pandemic: Safety Measures...
Read More
IVF

Pregnancy in COVID-19: What are the Risks?

Is the infection more dangerous...
Read More
IVF

Diet Plan for Lactating Mothers: What to eat while breastfeeding?

You know breast milk is...
Read More
IVF

आईवीएफ में जुड़वा बच्चेः आईवीएफ गर्भावस्था और एकाधिक प्रेगनेंसी

सामान्य जुड़वा बच्चे बनाम आईवीएफ...
Read More
IVF

Right Time For IVF: Indications and Contraindications

The IVF procedure can be...
Read More
Female Infertility Hindi

बच्चेदानी में सूजन: लक्षण, कारण, निदान, एवं उपचार

एंडोमेट्रैटिस (Endometritis) अथवा बच्चेदानी में...
Read More
Hindi IVF

आईवीएफ के लिए ऋण: एक अवलोकन

संतान की चाह रखने वाले...
Read More
Hindi IVF

कैसे करें एक सही आईवीएफ सेंटर का चयन?

आईवीएफ एक सुप्रसिद्ध सहायक प्रजनन...
Read More
Hindi

जानिए आप प्रेगनेंट हैं या नहीं

प्रेगनेंसी के 10 प्रमुख लक्षण...
Read More
Female Infertility

7 things You Must Discuss with Gynaecologist

With female friends or people...
Read More
Tamil

உங்கள் பிறக்காத குழந்தையைப் புரிந்துகொள்வோம்: கருவில் குழந்தை எப்படி வளர்கிறது!

கீழ்காணுமாறு ஒவ்வொரு வாரமும் கரு வளர்ச்சியடைவதை...
Read More
Kannada

ನಿಮಗೆ ಹುಟ್ಟಲಿರುವ ಮಗುವನ್ನು ಅರ್ಥಮಾಡಿಕೊಳ್ಳುವುದು: ಗರ್ಭದಲ್ಲಿ ಮಗು ಹೇಗೆ ಬೆಳೆಯುತ್ತದೆ!

ವಾರದಿಂದ ವಾರಕ್ಕೆ ಭ್ರೂಣ ಅಭಿವೃದ್ಧಿಯಬಗ್ಗೆ ಎಲ್ಲವನ್ನೂ...
Read More
Kannada

ಪಿಸಿಒಡಿ – ಕಾರಣಗಳು, ಲಕ್ಷಣಗಳು ಮತ್ತು ಚಿಕಿತ್ಸೆ

ಪಾಲಿಸಿಸ್ಟಿಕ್ ಅಂಡಾಶಯದ ಕಾಯಿಲೆ (ಪಿಸಿಒಡಿ)ಯು ಮಹಿಳೆಯರಲ್ಲಿ...
Read More
Kannada

ಅಂಡಾಶಯದ ಸಿಸ್ಟ್ (ಅಂಡಾಶಯದಲ್ಲಿ ಗಡ್ಡೆ): ಲಕ್ಷಣಗಳು, ಕಾರಣಗಳು ಮತ್ತು ಚಿಕಿತ್ಸೆ

ಅಂಡಾಶಯದ ಸಿಸ್ಟ್ (ಅಂಡಾಶಯದ ಸಿಸ್ಟ್‌ಗಳು) ಸಾಮಾನ್ಯವಾಗಿ...
Read More
Kannada

ಗರ್ಭಪಾತದ ಲಕ್ಷಣಗಳು, ಕಾರಣಗಳು ಮತ್ತು ರೋಗನಿರ್ಣಯವನ್ನು ತಿಳಿಯಿರಿ

ಗರ್ಭಪಾತವಾಗುವುದು ಅಪರೂಪದ ವಿದ್ಯಮಾನವಲ್ಲ. ಇದು 15...
Read More
Hindi PCOD

भ्रूण स्थानांतरण के बाद आहार

इन विट्रो फर्टिलाइजेशन (IVF) एक...
Read More
Request Call Back
IVF
IVF telephone
Book An Appointment