Uterine overgrowth is a plain way to talk about extra tissue in the uterus — like fibroids or thickened lining. Many people notice changes in bleeding, pain, or belly size and worry. Knowing what to watch for and what to ask your doctor helps you avoid surprises.
What it can mean: Fibroids are noncancerous lumps in the muscle wall. Endometrial hyperplasia is an over-thickened lining that can cause heavy bleeding. Adenomyosis is when lining cells grow into the muscle and cause cramps. Each problem feels a bit different but all can lead to a heavier period, longer bleeding, or pelvic pressure.
Common signs to watch for
heavy or long periods, bleeding between periods, cramps that get worse, pelvic fullness, constipation or needing to pee more, and sudden anemia symptoms like fatigue or shortness of breath. If your belly looks bigger for no clear reason, that can be a sign too.
How doctors check it: a pelvic exam, ultrasound (transvaginal gives good detail), and sometimes an endometrial biopsy to check the lining. Blood tests can show anemia. For complicated cases you may get an MRI. Don’t delay testing if bleeding is heavy or changing rapidly.
Treatment choices that actually work
Small, mild cases may need only watchful waiting and iron for anemia. Hormonal treatments include birth control pills, progestin pills, or a levonorgestrel IUD to control heavy bleeding. For fibroids, options range from medication to shrink them (GnRH agonists) to procedures like myomectomy (remove fibroids) or uterine artery embolization (block blood supply). Hysterectomy removes the uterus and is a final option if other treatments fail.
What to ask your doctor: Is this harmful long term? Do I need a biopsy? Which treatments match my desire for future pregnancy? What are side effects and recovery time? How will we check if treatment is working?
Simple steps you can start now: track your bleeding and symptoms on your phone, check your iron level if you feel tired, keep a healthy weight, eat whole foods and cut back on processed sugars, and exercise regularly to help symptoms. Talk to your care team about birth control options that may also reduce heavy bleeding.
When to get urgent care: very heavy bleeding soaking a pad or tampon every hour for several hours, fainting, chest pain, or shortness of breath. Those need immediate evaluation.
If you search for medicines or online pharmacies, pick licensed pharmacies and get a prescription when needed. Avoid sites that sell powerful drugs without a prescription. If you’re unsure, bring questions to your doctor or pharmacist.
Every body is different. Finding the right plan may take time, but clear tests and honest questions speed things up. If you want specific steps or need help understanding tests or meds, our site has guides that explain treatments, how to buy safely online, and what to expect from procedures.
Start a symptom diary, bring notes to appointments, and ask for copies of test results so you can get clear follow-up plans from your care team today.
