In some cases, more than one condition occurs at the same time.
Both conditions can cause an enlarged uterus.
Certain enlarged uterus symptoms are specific to PCOS, in addition to pelvic pain and discomfort from bloating.

Illustration by Zoe Hansen for Verywell Health
These include:
Complications
An enlarged uterus due to cancer can lead to serious health complications.
Diagnosis
An enlarged uterus can be detected during a pelvic exam.
If your uterus is enlarged, your gynecologist may order additional testing to determine the cause.
This can include:
Some conditions that lead to enlarged uterus symptoms can be challenging to diagnose.
Treatment
Treatment for an enlarged uterus depends on the cause.
Summary
Enlarged uterus symptoms can include general discomfort and constipation, or the need to pee frequently.
However, the underlying problems that make your uterus increase in size can lead to other symptoms.
Fibroids and adenomyosis are the most common causes.
Signs of these conditions are heavy bleeding, which can lead to anemia, cramping, and painful intercourse.
Other conditions that cause your uterus to enlarge are PCOS and cancer.
These are more serious issues that require treatment to protect fertility and overall health.
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