A bulky uterus is a medical condition that can be diagnosed by a physical exam. A woman with a bulky uterus may have no symptoms, or she may experience pelvic pain, menstrual irregularities, or difficulty in conceiving. Treatment for a bulky uterus may include medication or surgery. Medication may be used to treat the symptoms of a bulky uterus, and oral medications or surgery can be done to treat a bulky uterus. The type of surgery performed will depend on the cause of the enlarged uterus.