Saturday, January 22, 2011

Bulky uterus
















The above ultrasound images show what is called a bulky uterus. This term is used when the uterus is larger than normal for the age of the patient. The common causes include -1) the post partum stage (after delivery/ childbirth), when the uterus is still large in size after delivery (the process of shrinking in size of the uterus to its normal size is called involution), 2) fibroids, 3) adenomyosis etc. These patients often complain of discomfort in the pelvic region and menstrual problems. Another cause of enlarged or bulky uterus in middle aged women is increase in the BMI (body mass index). Higher the BMI and obesity are associated with larger or bulkier uterus. See this link: Bulky uterus and obesity The ultrasound images above show a diffusely enlarged uterus with no evidence of masses (tumors) or other pathologies.

The above is an ultrasound video clip of a case of bulky uterus seen in sagittal section. Observe the increased size of the liver without any other pathology. This was a middle aged (52 year) old female patient with back pain. Bulky uterus is a common finding among middle aged menopausal women.

This middle aged lady with the bulky uterus (same case as above) also has a significant deposition of fat within the liver, resulting in moderate fatty change. Many middle aged Asian women present with both bulky uterus and fatty liver.

19 comments:

  1. Hello doctor,
    i have 2 children of age 6yrs and 3 yrs both are normal deliveries. My age is 33yrs now i am suffering with stomach pain at the belly and lower abdomen. My ultrasound report of Abdomen and Pelvis is bulky uterus and small left renal calculus. is it a problem or can be cured with simple treatment.Please suggest me the better way for relief.
    -Jyothi

    ReplyDelete
  2. Hello Jyothi,
    Small kidney stone (renal calculus) can be treated by certain medicines which can dissolve the stone. Even small kidney stones can sometimes be painful. Bulky uterus is a common problem among middle aged women. Again for this consult a gynecologist who might prescribe medicines to correct the problem. Both the above problems dont appear serious enough for surgery. Please email me images of the ultrasound scan.
    Dr. Joe.

    ReplyDelete
  3. Hello doctor,
    my mother of age 45 is suffering from pain in belly and lower abdomen...she has two children both were sygarine babies, her scaning reports shows fibroids and bulky uterus....suggest me what to do for her further safe life

    ReplyDelete
  4. Dear Pallavi, I can understand your concern for your mother. I would like to have a look at the images/ pictures of the scan or get the full report. If possible contact me by phone:
    91-484-2323088 or 91-484-2403058 ( India- cochin)

    ReplyDelete
  5. hello,sir i m suferring from tuberculiosious since april2010 ,i am 24 years old not married ,i hav cysct in my ovary in last 1 year.but after the medical checkup after 1 year ovary is normal in condition,but i hav mild bulky uterus.i m sffering pain in my belly and in lower abdomenn .please,suggest me.what to do??

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  6. I think you should consult a gynecologist. Mildly bulky uterus is a common and maybe insignificant finding. If possible, please send your ultrasound scan images to me by email.
    Dr. Joe

    ReplyDelete
  7. Hi doc, I am 27 years old, unmarried and have undergone removal of a large uterine fibroids about 3 and a half months ago. The recent ultrasound reports still shows uterus is bulky. What does it mean. Also i seem to be putting on a really lot of weight on my stomach area. Please advice.

    ReplyDelete
  8. Hello sir i have taken some pills for abortion but mc discontinue today i went to for ultrasound & they have given report that a BULKY UTERUS WITH SMALL ECOGENIC STRUCTURE S/O-BLOOD CLOT/RPOC I cant understand should i go for surgery(abortion )or wait for net mc.please suggest

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  9. I am a 28 years female from Rajasthan and unmarried, my pelvic is bulky, please advise what to do ?

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  10. could you please send me an image of the scan..
    Joe.

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  11. Haarit, we are discussing bulky uterus here.. could you specify what you mean by bulky pelvis?
    Dr. Joe.

    ReplyDelete
  12. dear doctor,
    i am suffering from bulky uterus.i am the mother of 4 yrs old one baby girl and interested to take our next baby... is there will be any problem because of my bulky uterus..??should we wait/??

    ReplyDelete
  13. Dear Durri, even with a bulky uterus you can still have your next child. Bulky uterus is not a serious condition. Please consult your gynecologist also.
    Dr. Joe.

    ReplyDelete
  14. I have a bulky uterus. What does that mean? is it a problem to getting pregnant? can be cured with simple treatment.Please suggest me. I am 30yrs old, married & planning for child next year.Please tell me about bulky uterus.

    ReplyDelete
  15. Hello,doctor
    my mother is 45 yrs old. She have 4 children.
    Here is her report
    ULTRA SOUND
    pelvis (female) transvaginal 3D ultrasonogram (ultra sound)
    clinical data :menorrhagia
    findings:
    the uterus is bulky in size measuring about 4.7 cm (AP)
    myometrial echopattern is homogenous
    endometrium is of normal thickness (6.6mm) and homogenous
    cervix appears normal in size and parenchymal echopattern
    a nebothian cyst measures 9.2 x 6.7 are seen in the region of mid line of cervix
    RIGHT ovary measures 1.8x1.1x1.4 cm volume is 1.6 cc
    LEFT ovary measures 1.8x.9x1.6cm volume is 1.5 cc
    normal sized follicles are noted in both ovaries

    no collection is seen in cul-de-sac

    irregular period ( even having LYNES)
    IMPRESSION:
    bulky uterus
    no other sonographic abnormality is detected

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  16. Respected Sir,

    My wife is 24 yrs old, has ut-bulky and gravid uterus shows early single G.S. with singlefoctur pole maluritn of CRF (18 mm)
    8w 2 days. F HR-166B/PNI

    i would like to know the restrctions and food details for that said time

    and also wanted to know the meaning for the same report.

    ReplyDelete
  17. Hello, Dr. my usg of pelvis report shows bulky uterus with large myoma. & thichened endommetrial echoes (12.1). my age is 46yrs. is any problems please tell me

    ReplyDelete
  18. I am 47. For past 10 months I am not getting periods. Is there any possibility of getting pregnancy. I am scared

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  19. DEar Doctor,

    My name is sangeetha. Last december i went to india and had a master check up. The result shows that i have fatty liver and bulky uterus. i feel pain sometimes on my right side front and back at the ribs.
    is it because of the above symptoms? What is the medication for this or does this need any diet. i am 67 kgs.

    please reply me at rai.vijay2@gmail.com

    thank you
    sangeetha.

    ReplyDelete

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