Can you have sexual intercourse with uterine prolapse?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on September 12, 2024
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When a woman experiences uterine prolapse, it generally does not affect normal sexual activity, as symptoms might improve in a supine position, regardless of the type of prolapse. For instance, with moderate uterine prolapse, where the cervix protrudes beyond the vaginal opening, it might retract back into place when lying down. However, during sexual activity, cleanliness and hygiene should be considered. When uterine prolapse is severe, part of the uterus may be exposed at or outside the vaginal opening. Prolonged walking or other activities can cause friction, leading to possible cervical erosion and infections. Therefore, during intercourse, actions should not be too rough as it may exacerbate erosions or cause bleeding.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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How to check for uterine prolapse?

Uterine prolapse can be assessed through a vaginal examination to determine the degree of prolapse. Uterine prolapse can be divided into three grades: First-degree mild, where the external os of the cervix is less than 4 cm from the hymenal ring and has not yet reached the hymenal ring; first-degree severe, where the cervix has reached the hymenal ring, and the cervix can be seen at the vaginal opening, which constitutes the first degree. Second-degree mild occurs when the cervix prolapses out of the vaginal opening, but the uterus remains inside the vagina, while in severe cases, part of the uterus prolapses out of the vaginal opening. Third-degree prolapse involves both the cervix and the uterus protruding completely outside the vaginal opening. Once uterine prolapse occurs, it is necessary to seek timely medical treatment at a hospital.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How to self-check for uterine prolapse

Uterine prolapse can be self-detected. If you feel a swelling in the genital area, or something protruding by itself that disappears when lying flat, there is a high probability of uterine prolapse or significant bulging of the anterior or posterior vaginal wall. This method can be used for self-examination. It is best to visit a hospital for an annual gynecological check-up and ultrasound. Through a gynecological internal examination, the doctor can indirectly assess the condition of the cervix. Therefore, mild uterine prolapse is generally not detectable by oneself, and such conditions generally require a gynecological internal examination in a hospital for a definitive diagnosis. Only in cases of severe prolapse will abnormalities be noticeable.

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Written by Shen Li Wen
Obstetrics and Gynecology
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What should not be eaten with uterine prolapse?

When a woman has uterine prolapse, it is best to avoid eating foods that are high in fats, such as fatty lamb chops and greasy pork, as these can lead to obesity in women, increase intra-abdominal pressure, and worsen symptoms of uterine prolapse. Also, avoid eating overly spicy foods, as spicy foods can induce constipation in women. Additionally, for some women who suffer from respiratory diseases, such as chronic pharyngitis, who already experience chronic coughing, eating spicy foods can exacerbate coughing symptoms, increase abdominal pressure, and lead to worsening uterine prolapse.

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Written by Zhao Li Li
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Does uterine prolapse affect pregnancy?

Under normal circumstances, it is still necessary to determine the degree of uterine prolapse to understand whether it affects pregnancy. If the degree of uterine prolapse is mild, and it is just the cervix bulging into the vaginal wall, it generally does not have a significant impact on a normal pregnancy. If the uterine prolapse is more severe, and part of the cervix or part of the uterus has prolapsed beyond the hymen, this condition is considered to be within a mild range of 2nd to 3rd degree of prolapse. This severity of uterine prolapse can greatly impact pregnancy, and it is very easy to lead to miscarriage after becoming pregnant. Therefore, it is still necessary to undergo surgical repair before attempting to conceive.

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Written by Liu Jian Wei
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What should I do if I have uterine prolapse?

The treatment of uterine prolapse needs to be determined based on the degree of prolapse and whether the patient has any clinical symptoms. If the prolapse is mild and the patient does not display obvious clinical symptoms, conservative treatment is recommended. Conservative treatment mainly involves pelvic floor muscle training to strengthen the pelvic floor support and facilitate the repair of the prolapsed uterus. If the prolapse is severe and is accompanied by serious clinical manifestations, surgical treatment may be considered.