Bulky Uterus: Can You Get Pregnant with Enlarged Uterus

Normal or large uterus

A bulky uterus is a uterus larger than normal. It can be caused by a number of medical conditions, including fibroids, endometriosis, and pelvic inflammatory disease (PID).

For most women, a uterus bulky in size does not cause any symptoms and is only discovered during an ultrasound. However, in some cases, it can cause painful periods, irregular bleeding, and even infertility.

Problems with mild bulky uterus account for 3% to 5% of infertility cases. Therefore, it’s essential to understand the causes and conditions that might affect your ability to conceive. Keep reading about the bulky uterus, good or bad, its causes, and its treatment so you can make an informed decision. But first, let’s understand the essential component of female fertility and pregnancy, i.e., the Uterus.

Understanding Uterus & It’s Role In Pregnancy

The uterus plays a crucial role in fertility and pregnancy. This small organ, located in the female reproductive system, is responsible for nurturing the developing fetus during pregnancy.

It has several vital functions, including providing a safe and secure environment for the fetus to grow, supplying nutrients to the fetus, and producing hormones such as estrogen and progesterone that help regulate the growth and development of the fetus.

Without a uterus, it would be impossible for a woman to become pregnant or carry a baby to term. The uterus is truly an amazing organ, and its importance to fertility and pregnancy cannot be overstated.

Bulky Uterus Meaning

uterus bulky in size indicates that the uterus is larger than normal, often due to conditions like fibroids, adenomyosis, or hormonal imbalances. A medical evaluation is necessary to determine the cause and potential treatment. Generally, the normal dimension of the uterus ranges from 8 cm x 5cm x 4cm (around 3 to 4 inches by 2.5 inches). Women with the bulky uterus condition have a uterus that is bigger than it is supposed to be.

In some cases, a enlarged uterus can also cause discomfort and fertility issues. If it is leading to infertility, you can consult your doctor and look for bulky uterus treatment.

Common Causes Of Bulky Uterus

The common bulky uterus causes can be endometrial hyperplasia, a condition in which the endometrium (the lining of the uterus) becomes too thick. Other causes of a bulky uterus include fibroids, polyps, and adenomyosis. In some cases, the cause of a bulky uterus is unknown.

Let’s understand these common causes in brief:

Uterine Fibroids

Bulky uterus with fibroid is a rare condition. They may impact reproductive health and pregnancy chances in several ways, including heavy menstrual periods and pain during intercourse.

Some fibroids are small in size and may not cause any noticeable symptoms, but some might grow to the extent that they make your uterus bulky in size.


Adenomyosis is a condition causing diffuse thickening of the uterus that may result in pain and heavy bleeding during menstruation. In adenomyosis, the lining of the uterus, known as the endometrium, breaks through the muscle wall of the uterus (the myometrium).

The condition is noncancerous and has symptoms similar to fibroids, such as prolonged menstrual bleeding & pelvic pain.

Polycystic Ovarian Syndrome or PCOS

PCOS is the imbalance of reproductive hormones where the ovaries produce an excess of male hormones called androgens. It can also make your uterus grow bigger, along with an abnormal menstruation cycle and clumps of fluid-filled sacs called cysts. PCOS is among the common reasons for infertility among women of reproductive age.

Reproductive Cancer

Specific cancers of reproductive organs such as the endometrium, uterus, and other pelvic regions are the biggest causes of the bulky uterus and can cause tumours and lead to the uterus being bulky in size.


It is referred to as a stage before reaching complete menopause, and the stage also marks the end of the reproductive years. Changes in hormone levels after menopause can sometimes be the reason for a bulky uterus.

Bulky Uterus Symptoms

The bulky uterus symptoms of bulky uterus conditions depend on their cause. Often the condition is asymptomatic, and in other cases, you may likely experience –

  • Miscarriage
  • Premature delivery
  • Heaviness in the lower abdomen
  • Pain during intercourse
  • Heavy menstrual period
  • Painful periods
  • Excessive hair growth
  • Swelling in the legs
  • Irregular menstrual periods
  • Abnormal weight gain
  • Breast tenderness
  • Bleeding after menopause
  • Frequent urination
  • Abdominal or pelvic pain

Does Enlarged Uterus Cause Infertility?

A bulky uterus, which is an enlarged uterus, can be a cause of infertility in some women. The enlarged uterus can prevent fertilized eggs from implanting in the uterus or cause an embryo to be expelled prematurely.

It is also possible for a enlarged uterus to interfere with the delivery of sperm or egg cells, which can make it harder for a couple to conceive naturally. In some cases, the enlarged uterus can also interfere with the functioning of the fallopian tubes, making it more difficult for an egg to travel from the ovaries to the uterus.

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In addition, fertility treatments such as IVF or IUI may be less successful if the uterus is enlarged. Uterine enlargement can also cause complications during pregnancy, such as an increased risk of miscarriage or preterm labor.

A bulky uterus can put pressure on other organs, such as the bladder, and cause pain and discomfort. If you believe that a uterus bulky in size may be causing your infertility, it’s important to talk to your doctor so they can determine the best course of treatment.

Can you get pregnant with an Enlarged uterus?

Yes, it is possible to get pregnant with an Enlarged uterus. A bulky uterus can result from various conditions, such as fibroids, adenomyosis, or uterine polyps. While these conditions can sometimes affect fertility or make it more challenging for you to conceive, they do not necessarily prevent pregnancy altogether.

The impact of an enlarged uterus on fertility and pregnancy can vary depending on the specific cause and severity of the enlargement. Some women with a bulky uterus have no trouble getting pregnant or carrying a pregnancy to term, while others may experience difficulties.

Hence, if you have concerns about fertility or are having trouble conceiving due to a bulky uterus, it is important to consult with a healthcare provider or a fertility specialist. They can help monitor your health, determine the cause of the uterine enlargement, and recommend appropriate treatments or interventions to help you get pregnant successfully.

Bulky Uterus Treatment Options

Several bulky uterus treatment options are available if a woman is diagnosed with it. However, the treatment depends on the cause of the condition. Oftentimes a woman with a bulky uterus doesn’t necessarily require treatment.

The most common treatment is hormone therapy, which helps to regulate the hormones and reduce the thickness of the endometrium.

  • The most common treatment is hormone therapy, which helps to regulate the hormones and reduce the thickness of the endometrium.
  • Hysteroscopy and laparoscopy are other options, which involve using a camera to look into the uterus and remove any abnormal growths.
  • In some cases, surgery may be necessary to remove the excess tissue or if other treatments are not successful.
  • Other treatments include medications to reduce the size of the uterus and hormone therapy to reduce the symptoms associated with the condition.

In cases of infertility, in vitro fertilization (IVF) may be recommended to help the woman become pregnant. IVF is a form of assisted reproductive technology that stimulates ovaries using medications to retrieve mature eggs.

The eggs are then fertilized with the partner’s sperm in a laboratory. The resulting embryo is then transferred to the uterus for implantation.

In a Nutshell

It is essential to have routine pelvic exams with a gynecologist. This is vital to identify the early issues that may get worsen. While in many cases, the reasons behind enlarged uterus aren’t severe and require no or very little treatment.

But in some cases, the condition can negatively affect a woman’s lifestyle and cause difficulty in conceiving.

Ultimately, it is important to speak with an experienced fertility doctor at the best IVF center in Delhi at Crysta IVF if you have any concerns about a bulky uterus or infertility. They can help you understand your condition and work with you to find the best treatment for your situation.

Updated Content on 14.09.2023


Shivangi Prajapati

Shivangi Prajapati, a writer by profession and passion, has expertise in the healthcare industry. With her extensive research into medical advances, she loves breaking down complex health information, making it easier for people to understand the recent trends in clinical and medical realities. Her dedication to providing trustworthy, relevant, and usable information helps people take good care of their health.