Bulky Uterus And Fertility – Causes Of Bulky Uterus!

Bulky Uterus And Fertility

A bulky uterus is often a concern for women who are their reproductive age. Around 3% to 5% of infertility in women is caused by the bulky uterus. With that being said, the significance of the uterus in pregnancy would have been clear to you. 

A uterus is a woman’s womb and is held accountable to hold the baby throughout the pregnancy period. It is also responsible to provide for the fetus until the fetus is introduced to the world. You must have heard of how ectopic pregnancy (pregnancy where the embryo is implanted outside the uterus, mostly into the fallopian tube, or ovaries) often leads to miscarriage.

It indicates that a uterus is irreplaceable no matter what.  You can only conceive when you have a healthy uterus that is capable of providing a suitable environment for the embryo to grow. In this article, we are discussing the role of the uterus in pregnancy and how a bulky uterus can adversely affect your fertility. 

What Is A Bulky Uterus? 

A bulky Uterus is a condition experienced by women whose uterus grows beyond the normal size. It is the unusual swelling in the uterine walls that result in the condition. Usually, the size of a uterus ranges from 8cm x 5cmx 4cm. But, due to some reasons, it grows a little more, making it lose its pear shape.

However, the increase in the size during the pregnancy is considered to be normal as the fetus requires enough space to grow inside them.

Bulky Uterus

But if the uterus enlarges for reasons other than pregnancy, then it should be immediately treated as a bulky uterus is even capable to interfere with your reproductive life. Can a bulky uterus lead to infertility? Is the condition so serious that it might even prevent you from conceiving? 

What Is The Relation Between A Bulky Uterus And Fertility? 

The role of the uterus is well-discussed when it comes to pregnancy. Therefore, when the uterus is abnormal, it might affect your entire ability to conceive. This is because it becomes difficult for the embryo to stick to the uterine walls that are already inflated.

Not only during normal pregnancy, a bulky uterus can also turn out to be a villain while undergoing an IVF treatment. As far as an embryo does not stick to your womb, you will not become pregnant, hence, you will be addressed as an infertile woman who lost her ability to conceive due to a bulky uterus. 

But, what could be the reasons that are leading to this condition? Why is it bulky out of the blue? Arent all women born the same? Can a bulky uterus be caused by your genetics? Continue reading to understand the common causes of a bulky uterus. 

Read More:- Infertility After Abortion – Signs Of Infection After Abortion!

Causes Of Bulky Uterus 

Several factors can cause a bulky uterus and they are as follows: 

  • Polycystic Ovarian Syndrome 

Polycystic Ovarian Syndrome is a common condition experienced by around 10% of women of childbearing age. Normally, during menstruation, the endometrial lining is shed. But women with PCOC usually have hormonal imbalances causing irregular periods. This means they do not shed their endometrial lining every month, causing their uterus to become abnormally enlarged. 

  • Endometrial Cancer 

A bulky uterus is one of the major symptoms of endometrial cancer and is caught rapidly during the diagnosis process. Women with endometrial cancer experience excessive and irregular vaginal bleeding.

According to a study conducted by the USA’s National Cancer Institute, women in the age of 50 or above are more likely to get this type of cancer and whenever diagnosed a treatment should be immediately received. 

  • Perimenopause

Perimenopause is a distressing condition that is seen in women who are close to their menopause. Due to the sudden hormonal imbalance, your uterus will start growing causing it to become bulky, but it regains its original size and shape when you finally reach your menopause. However, this revert is not reported by everyone. In rare cases, the uterus that got enlarged during perimenopause continues to stay in that shape causing further health hazards. 

  • Fibroids 

Fibroids are cancerous tumors seen in the uterus. Around 20% of women have fibroids and they are not necessarily dangerous. But some can cause difficulty in conceiving by blocking the opening of the fallopian tubes or the ascends of sperm from the vagina. In addition to it, fibroids may also disturb the blood supply to the uterus. For the worse, the condition can lead to premature birth or miscarriage. 

  • Adenomyosis

Adenomyosis is a condition where the endometrium, the tissue that lines the uterus is grown inside the muscular structure of the womb. It completely changes the structure of the uterus, making it an environment not suitable for embryo implantation. 

What Happens When You Have A Bulky Uterus? 

A bulky uterus alone is not capable of interfering in your fertility but the reason it causes can bring various types of complexities. The common causes of the bulky uterus like fibroids and adenomyosis are deadly. However, the following are the possible complications of a bulky uterus: 

  • Infertility– The presence of conditions like fibroids and adenomyosis are more likely to cause infertility. And, even if you get pregnant, it is more likely that it will end up in a premature birth. 
  • Excessive bleeding– Enlarged uterus caused by fibroids and adenomyosis cause excessive bleeding during menstruation. 
  • Pain in the pelvic region– The increased size of the uterus may add weight to the pelvic region, causing frequent urination, swelling, and other discomforts. 

Read More:- Do You Need Some Rest In IVF Procedures? Discover The Truth


A bulky uterus and fertility are often associated with each other, and why not should they be linked, afterall,  the condition isn’t that silly to be brushed off easily. It can be caused due to serious ailments like fibroids, adenomyosis, or endometrial cancer. So, make sure to look for medical assistance when you notice any discomfort or abnormal bleeding. Often, a bulky uterus is not diagnosed easily. Only women who undergo regular checkups are capable of early diagnosis. So, make regular checkups a habit and stay safe. 

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