How to determine uterine prolapse

Uterine prolapse refers to the reduction of the uterus from its normal position along the vagina, with the outlet below the level of the sciatic nerve, or even the uterus protruding from the vaginal opening, often accompanied by the anterior and posterior vaginal walls. The anterior and posterior walls of the vagina are adjacent to the bladder and rectum, and uterine prolapse may be accompanied by the bladder, urethra and rectum. Uterine prolapse is related to the relaxation of the ligaments supporting the uterus and the weakening of pelvic floor support, so it is more common in women who have given birth multiple times, are malnourished, and are physically exhausted.

Birth injury is the main cause of uterine prolapse. Childbirth, especially dystocia, prolonged second stage of labor or operative vaginal delivery, can easily cause damage to the cervix, cardinal cervical ligaments, sacral ligaments and pelvic floor muscles. If the supporting tissue cannot return to normal after delivery, uterine prolapse is likely to occur. Postpartum women prefer to lie on their backs, which is prone to chronic urinary retention. The uterus is prone to become posterior, with the axis of the uterus and the axis of the vagina in the same direction. When abdominal pressure increases, the uterus descends and prolapses along the direction of the vagina. Chronic constipation and cough, ascites or abdominal obesity can increase abdominal pressure and promote uterine prolapse.

The patient consciously lowers the abdomen, and the back pain is more obvious when walking or squatting. In mild prolapse, the vaginal prolapse can be automatically retracted after lying down and resting. In severe cases, the prolapse cannot be retracted, affecting movement. The thickening, keratinization or erosion and ulceration of the cervical mucosa surface are caused by long-term exposure. The patient has an increased amount of leucorrhea, sometimes purulent or bloody, and some have menstrual disorders and excessive menstrual bleeding. When accompanied by cystocele, dysuria, urinary retention, stress urinary incontinence, etc. may occur.

Uterine prolapse will become particularly large when leucorrhea begins to flow out. The leucorrhea that flows out is generally not white, but either yellow or bloody. Some women will experience soreness and back pain in the waist. This is when the symptoms are not serious. If you have such symptoms, you can go to the hospital for diagnosis and treatment.