What is the normal uterus size – understand your uterus

Two women are on the bed with uterus picture

The average uterus is the size of 3 to 4 inches by 2.5 inches. It is shaped of an upside down pear. Uterus can increase in size for example because of pregnancy or uterine fibroids. Anatomy of the uterus has got 3 tissue layers. Uterus anatomy is based on those 3 layers and those layers are:

  • Endometrium,
  • Myometrium,
  • Serosa.

Uterine size changes in all of those three uterine dimensions while womans lifespan. Uterine width is around 27 mm to 32 for those women who had been in more than one pregnancy.

Uterine volume

Were you wondering what should be right uterine volume? Here is the answer your uterine volume should be about 15 to 56 cm3 in women with a normal uterus.

What does cause uterus to stretch beyond its normal size?

There are many conditions that can cause your utreus to stretch. For example here you go some reasons why:

  • Pregnancy,
  • Fibroids,
  • Adenomyosis,
  • Reproductive cancers.


The uterus normally fits into the pelvis. But when we talk about pregnant women then we can notice her growing baby causing your uterus to increase in size 1,000 times. From normal size of non pregnant uterus it can even grow to the size of an watermelon of even bigger.


Fibroids are cancers that can be growing inside or outside the uterus. They can cause:

  • Heavy bleeding (menstrual),
  • Painful periods,
  • Discomfort during sex,
  • Lower back pain.

Some of those tumors are small and will no give any symptoms. But even if they do give symptoms those tumors can also affect fertility.


Adenomyosis is a health condition in which uterine lining grows to the uterine wall. Adenomyosis is connected with estrogen levels. Women with this condition might notice tenderness and also swelling placed in their lover abdomen.

Reproductive cancers

Uterus cancers (endometrium and cervix) can creat tumors. It all depends on the size of the tumors. Symptoms can include:

  • Pain durning sex,
  • Pelvic pain,
  • Pain while giving urine,
  • Feeling that you aren’t able to empty your bladder,
  • Not normal vaginal bleeding (for example bleeding that is not related to your menstrual cycle).

Diagnosis and treatment

Blood samples with syringe's

An enlarged uterus is usually found by chance. To give you an example your doctor might be doing you your normal check up. Sometimes it can be found while your doctor is treating you because of other symptoms you are developing for example problems with menstruation.

If we are talking about fibroids that causes streching your uterus they might need medical care. If you are dealing with fibroids you doctor may give you birth control pills because they have estrogen as well as progesterone. Those pills may half the growth the fibroidsand limit your menstral bleeding. There is also another treatment which is called artery embolization. It uses very thin tube into your uterus to inject the small particles to your arteries of the uterus. This is cutting off the blood supply to those fibroids.

Adenomyosis treatment might start with medications for example like ibuprofenas well as for example birth control pills. However in severe cases doctors may recommend you hysterectomy.

Uterine length width

Uterine length is measured with 7.5 cm and it’s wide is about 5 cm at it’s upper part. The weight is about 30 to 40 grams. The length can increase to 72 mm at the age of 40 and also can decrease to 42 mm by age of 80 years old.

Uterine prolapse

Uterine prolapse is when uterus drops down into the vaginal canal. While pregnancies are repeated uterus can change its position and it can cause this health condition. When your uterus title it doesn’t cause any pain durning menstruation. This health condition doesn’t need any kind of surgery and won’t affect your ability on getting pregnant or even possibility of vaginal delivery.

Important information: When it is said that uterus is titled it is being talked about the position the uterus takes. When we refer to a uterus as being tilted, we are talking about the position the uterus occupies in the pelvic cavity takes.


  • The uterus is placed low in the pelvis as well as ovaries.
  • The uterus is an muscular female organ that is placed in lower pelvis.
  • Ultrasound examination is the examination that can let your gynecologist immediately recognize uterus.


The uterus most common position is the anteverted and anteflexed. There can be many cases of changes in uterus sizes. As well as your body changes is shape and weight.

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One thought on “What is the normal uterus size – understand your uterus

  1. Thank you so much for this amazing article. Thanks to it I found out so many new things I didn’t know about before. Great job!

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