What should I do if my uterus is enlarged?

Uterine hypertrophy refers to uniform enlargement of the uterus, with myometrial thickness exceeding 2.5 cm, accompanied by varying degrees of abnormal uterine bleeding. This condition is primarily caused by ovarian dysfunction, incomplete postpartum uterine involution, chronic inflammation, pelvic venous congestion, and arteriosclerosis of the uterine myometrial vessels. So, what should be done if the uterus is enlarged? Below, we address this question.

What to Do If the Uterus Is Enlarged

1. Conservative Management

Cervical hypertrophy is a common cause of uterine hypertrophy. In cases without specific symptoms, targeted treatment is generally unnecessary; instead, conservative management can help prevent disease progression. Women should maintain an optimistic mood and avoid emotional stress—particularly anger—and excessive physical fatigue. Adequate sleep and rest, as well as avoiding late-night activities, are strongly recommended to effectively prevent worsening of uterine hypertrophy.

2. Dietary Adjustment

Consuming more fresh fruits and vegetables is advisable, with an emphasis on light, non-greasy, and non-spicy foods. Oily and pungent foods should be minimized, as they may trigger internal heat (“fire”) and promote fat accumulation—both detrimental to overall health and body composition. A light, balanced diet helps prevent exacerbation of uterine hypertrophy and supports faster recovery.

3. Traditional Chinese Medicine (TCM) Therapy

During active disease, TCM treatment may be employed—for example, modified Guipi Tang (Spleen-Nourishing Decoction), containing ingredients such as Astragalus membranaceus (Huang Qi), Codonopsis pilosula (Dang Shen), charred dried ginger (Pao Jiang Tan), honey-fried licorice (Zhi Gan Cao), stir-baked Atractylodes macrocephala (Chao Bai Zhu), gelatinized donkey-hide gelatin pearls (E Jiao Zhu), Taxillus sutchuenensis (Sang Ji Sheng), carbonized mugwort leaf (Ai Ye Tan), Rubia cordifolia (Qian Cao), and roasted Aucklandia lappa (Wei Mu Xiang). These herbs are decocted in appropriate amounts of water and administered to achieve therapeutic effects, thereby alleviating symptoms.

4. Exercise-Based Rehabilitation

Exercise-based rehabilitation is highly beneficial. It is common for women to experience weight gain or uterine enlargement after childbirth; appropriate physical activity can significantly aid postpartum recovery, enhance immune function, reduce excess fat, and accelerate overall physical restoration.

The above outlines practical approaches to managing uterine enlargement. We hope this information proves helpful to you.