OB-GYN (Obstetrician-Gynecologist) Questions Enlarged uterus

What is the treatment for an enlarged uterus?

A recent USG indicated that I have an enlarged uterus. What is the treatment for this, usually? I'm discussing with this in my next appointment with my OB-GYN, but I want to just get a general overview

6 Answers

Enlarged uterus could be relative. However, the reason for the USG needs be put in context. The treatment may depend on many factors- symptoms, your reproductive history, underlying cause of the enlargement- Uterine fibroids, adenomyosis to name a few. Your OBGYN will assess this and make appropriate treatment recommendation.
An enlarged, asymptomatic uterus is not really a problem. The most common cause of uterine enlargement is pregnancy, but you have probably already ruled that out. The next most common cause would be a fibroid. Fibroids are very common affection about 40% of all women over 40 years old. In most cases, they will be without symptoms and could be left alone. If you have symptoms, the recommended treatment will depend on your age and location.
Nulliparus uterus weigh between 80-100 grams and the multiparus uterus is between 120-130 grams. If they are above those items, it is considered enlarged most of the time. It is due to the presence of 1-fibroide 2-adenomyosis, which are benign and can be managed conservatively by follow-up.
Ultrasound for further evaluation. You may need a biopsy. Treatment depends
It depends. How enlarged are we talking? Are there any symptoms from it being enlarged? What is causing the enlargement? All this info is important to answer that question. Bottom line is, if it's not cancer and it doesn't cause any problems, leave it alone until it does.

Treatment may depend on your age and fertility status and any problems you maybe having. It may contain fibroids, which are usually benign growths, but could be something more serious. Treatment may range from wait, observe, and repeat testing to a recommended surgical procedures for biopsy or removal. You and your doctor should discuss the options with the pros and cons of each.

Rob Muller