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Relationship in between an enlarged uterus and pain during menstruation

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Pregnancy leads to an increase in the size of the uterus and makes it grow into the size of a watermelon. Apart from this, there are certain health issues which are responsible for the enlargement of the uterus of women. The symptoms of an enlarged uterus are heavy bleeding accompanied with pain and long periods. Periods are accompanied with the discharge of blood clots as well if the uterus is enlarged. Below are the main health issues responsible for the enlargement:

Uterine Fibroids

Fibroids are non-cancerous growths that lead to an increase in the size of the uterus and make it swollen. These fibroids differ in sizes from body to body and are present in women who are still in their reproductive years. The symptoms which signal the presence of uterine fibroids are uterine bleeding, back and pelvic pain, urinary problems and pressure on the rectum.

Adenomyosis

This particular condition leads to an excessive growth of the endometrial lining in the wall of the uterus. Because of this problem, the uterus gets swelled up, giving rise to conditions like painful periods, bleeding from the uterine muscle wall leading to heavy bleeding and abdominal pain.

Endometrial Cancer

In most cases, women who are in their post-menopausal stage suffer from endometrial cancer. In this type of cancer, there is an abnormal growth of the cells which spread to other parts of the body — including the organs. This cancer can also be found in females who are still menstruating. The varied side-effects of having suffering from this cancer are pain while urinating, pelvic pain, unexpected bleeding and pain during intercourse.

All the above-stated causes make the periods painful with the lower abdominal area being under pain the most. Legs, back and the pelvic area are also targeted because of this problem. In addition to this, women who are facing the problem of an enlarged uterus might face the following consequences as well:

  • The menstrual cycle will become abnormal accompanied with spotting in between periods. Sometimes the periods get heavier with clotting whereas during other times the cycle becomes irregular.
  • Bloating, weight gain, problems in conceiving, miscarriage, constipation and frequent urination are some other indications of an enlarged uterus.

Not all the causes of an enlarged uterus are harmful for the body but it is recommended to consult a doctor so that a proper identification of the possible causes of the problem is done and its treatment can also be suggested.

About Author

Dr. Kanika Jain

Dr. Kanika Jain is a highly qualified and experienced medical professional specializing in Obstetrics and Gynaecology. She holds an MBBS degree from Kasturba Medical College, Manipal, and further pursued DGO from Stanley Medical College. She completed her DNB in Obstetrics and Gynaecology at Chanandevi Hospital, Delhi.

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