If you have an enlarged uterus, you won't necessarily notice it yourself. Your doctor may discover it during a physical exam or on imaging tests. Many conditions that cause an enlarged uterus are benign and don't require treatment unless symptoms are severe.
If you experience problems such as irregular bleeding; painful, heavy periods; pain during intercourse; or feelings of fullness or pressure in the lower abdomen, see your doctor, who can help determine the cause and best treatment.