Hi Sheelu, Thanks for using the HCM. I am happy to address your questions, bulky uterus, this term is used when the uterus is larger than normal for the age of the patient. The common causes include the post partum stage (after delivery/ childbirth), when the uterus is still large in size after delivery (the process of shrinking in size of the uterus to its normal size is called involution), fibroids, adenomyosis etc. The patients often complain of discomfort in the pelvic region and menstrual problems. Another cause of enlarged or bulky uterus in middle aged women is increase in the BMI (body mass index). Higher the BMI and obesity are associated with larger or bulkier uterus. The report mentions that the endometrial lining of the uterus is abnormally thick, this could be causing swelling. Cystic lesions are also present in the endometrium. Myometrial cysts and cystic lesions are characteristic of adenomyosis of the uterus which could be causing associated pain. Will recommend you consult your gynaecologist to address the same. Thanks