What is the normal size of the uterus?

Aug 24, 2022 Source: Cainiu Health
Dr. Lv Aiming
Introduction
A normal adult female uterus measures approximately 7–8 cm in length, 4–5 cm in width, and 2–3 cm in thickness—smaller than a woman’s fist. Abnormal uterine enlargement may indicate conditions such as adenomyosis or postpartum uterine atony; these disorders typically do not fully resolve spontaneously. Conversely, an abnormally small uterus may suggest uterine hypoplasia. Women should undergo routine pelvic ultrasound examinations annually to monitor the health of their reproductive organs.

The uterus is a vital organ in the female body; therefore, proper care and early prevention of various diseases are essential. So, what is the normal size of the uterus?

What is the normal size of the uterus?

In healthy adult women, the uterus typically measures 7–8 cm in length, 4–5 cm in width, and 2–3 cm in thickness—smaller than a woman’s clenched fist. Abnormal uterine enlargement may indicate conditions such as adenomyosis or poor postpartum uterine involution, both of which may not fully resolve. Conversely, an abnormally small uterus may suggest uterine hypoplasia. Women should undergo annual routine ultrasound examinations of their reproductive organs—including the uterus, ovaries, and fallopian tubes—to detect abnormalities early and initiate timely, targeted interventions.

Maintaining uterine health through daily care can help prevent many uterine disorders. Common gynecological conditions include uterine fibroids, endometritis, and intrauterine adhesions. Currently, surgical intervention remains the primary treatment for uterine fibroids. However, smaller fibroids may be managed conservatively via regular monitoring or oral medication—for example, Guizhi Fuling Wan. For endometritis, antibiotic therapy targeting infection is the mainstay of treatment, though traditional Chinese medicine (TCM) may also be used as an adjunct. Intrauterine adhesions often occur following intrauterine procedures and are typically treated with hysteroscopic surgery.

It is recommended to consume ample vegetables and fruits to support overall nutrition. During menstruation, keeping the uterus warm is especially important. We hope this information proves helpful to you.