Healthy Cheerful Q&A Women’s Health

What causes uterine hypertrophy

Asked by:Kathleen

Asked on:Apr 11, 2026 03:50 PM

Answers:1 Views:414
  • Artemis Artemis

    Apr 11, 2026

    Uterine hypertrophy may be caused by chronic inflammatory stimulation, multiple pregnancies, ovarian dysfunction, pelvic congestion syndrome, uterine fibroids and other reasons. Uterine hypertrophy usually presents with symptoms such as increased menstrual flow, prolonged menstruation, and lower abdominal distension, which can be improved through drug treatment, physical therapy, surgical treatment, etc.

    1. Chronic inflammation stimulation

    Long-term chronic cervicitis or repeated stimulation of pelvic inflammatory disease can lead to myometrial fibrous tissue hyperplasia. Patients may experience symptoms such as increased leucorrhea and lumbosacral pain. Anti-inflammatory drugs such as cefixime dispersible tablets and metronidazole tablets are commonly used in clinical treatment. In severe cases, physical therapy such as microwave or laser is required to eliminate inflammation.

    2. Multiple births and multiple pregnancies

    Multiple pregnancies and childbirths will reduce the elasticity of uterine muscle fibers after repeated stretching, and incomplete postpartum involution may easily lead to an increase in uterine volume. Such patients often suffer from symptoms of pelvic floor muscle relaxation. It is recommended to strengthen the pelvic floor muscles through Kegel exercises, and use Chinese patent medicines such as Buzhong Yiqi Pills for conditioning if necessary.

    3. Ovarian dysfunction

    Sustained excessive secretion of estrogen will stimulate the thickening of the myometrium, which is common in patients with functional uterine bleeding. Typical symptoms include irregular menstrual cycles and heavy menstrual blood. Progesterone capsules and dydrogesterone tablets can be used as directed by the doctor to regulate endocrine, and Guizhi Fuling capsules can be used to improve blood circulation.

    4. Pelvic congestion syndrome

    Obstruction of pelvic venous return can lead to congestive enlargement of the uterus, and patients often experience sexual intercourse pain and anal distension. It is recommended to avoid prolonged sitting and use Maizhiling tablets to improve venous return. In severe cases, uterine vein embolization is required.

    5. Uterine fibroids

    The growth of intramural fibroids causes the uterus to enlarge uniformly, and submucosal fibroids may cause abnormal uterine bleeding. Mifepristone tablets can be used to control the growth of smaller fibroids. If the diameter exceeds 5 cm or the symptoms are obvious, uterine myomectomy should be considered.

    Daily attention should be paid to perineal cleaning to avoid frequent artificial abortions. Bathing and sexual intercourse are prohibited during the menstrual period, and gynecological examinations should be performed regularly every year. If you have persistent abdominal pain or abnormal menstruation, you should seek medical treatment promptly and avoid taking hormone drugs by yourself. Appropriate supplementation of high-quality protein and vitamins in the diet, reducing the intake of spicy and irritating foods, and maintaining a regular schedule can help endocrine balance.

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