The graded treatment for uterine prolapse is what?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on September 29, 2024
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According to the severity of female uterine prolapse, it can be categorized into first, second, and third degrees. For first and second degrees, non-surgical treatment methods can be used, such as the commonly practiced anal contraction exercises, which are a type of pelvic floor muscle training. The specific method involves contracting the anus for three seconds, then relaxing, and repeating this action 15 to 30 times per set. Depending on one's physical condition, two to three sets can be done each day. Generally, significant results can be seen after six to eight weeks of consistent practice. Additionally, some women who refuse surgery, such as older women, can also use a uterine pessary. Moreover, for mild or moderate uterine prolapse, treatments such as acupuncture and taking traditional Chinese medicine orally, such as Bu Zhong Yi Qi Tang, can be used. For severe uterine prolapse, surgery is often necessary, but the specific choice depends on various factors such as the woman's age, reproductive needs, and quality of life requirements. For example, older women in their seventies or eighties who might have poor physical condition and possibly no sexual activity might consider undergoing a vaginal closure procedure.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Can you run with a prolapsed uterus?

Uterine prolapse is classified into mild, moderate, and severe degrees. Patients with uterine prolapse are advised against running and standing for extended periods. Constipation can exacerbate uterine prolapse, thus it is also generally advised against running or standing for long durations for those affected. Patients with uterine prolapse should certainly seek hospital treatment suited to their specific condition. Mild prolapse can be managed with a pessary or simply with rest and observation. For moderate to severe uterine prolapse, surgical options such as ligament suspension procedures can be considered. In severe cases, such as third-degree uterine prolapse, a vaginal hysterectomy might be performed as a treatment. Therefore, it is generally recommended that patients with uterine prolapse avoid running.

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Written by Du Rui Xia
Obstetrics
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What should I do if I have uterine prolapse during pregnancy?

When suffering from uterine prolapse, women should pay attention to their daily lives and reduce some activities. It is important to avoid carrying loads on shoulders or overhead, engaging in heavy labor, and carrying heavy objects, as well as prolonged squatting. Attention should also be paid to consuming fresh vegetables and fruits, maintaining smooth bowel movements to prevent constipation, and absolutely avoiding forceful defecation. Additionally, it is crucial to keep warm and prevent colds and coughs. If coughing occurs during pregnancy, it is necessary to treat it actively. Women with uterine prolapse must cooperate with their doctors and take effective preventative measures, ensuring adequate rest. It is best to perform health exercises under the guidance of a doctor, as this can also effectively strengthen the support strength of the pelvic floor tissues.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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Uterine prolapse is treated in the Department of Gynecology.

Uterine prolapse requires registration with the gynecology department as it is a type of gynecological disease. There are many causes of uterine prolapse, including pregnancy and childbirth. Particularly, vaginal delivery before childbirth or difficult deliveries involving suction can weaken the supporting strength of the pelvic fascia, ligaments, and muscles due to excessive stretching, leading to uterine prolapse. Additionally, aging, especially post-menopause, can cause an atrophy of the supporting structures, also leading to uterine prolapse. Other causes include chronic cough, abdominal effusion, and obesity, which can all lead to uterine prolapse. Therefore, once uterine prolapse occurs, it is necessary to promptly visit a hospital for examination to determine the extent of the prolapse, and treatment should be conducted according to the examination results.

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Written by Xu Xiao Ming
Obstetrics and Gynecology
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Postoperative sequelae of uterine prolapse surgery

After undergoing a hysterectomy for uterine prolapse, the patient will be missing an organ, as the uterus is removed, and possibly the cervix as well, and part of the vagina may also be removed. Therefore, patients who have had this surgery may experience some difficulties during sexual activity. It is advised that such patients should rest more and avoid vigorous sexual activity. Additionally, after the removal of the uterus due to uterine prolapse, the patient will no longer menstruate and will not have reproductive capabilities. Therefore, it is suggested that patients consider carefully the postoperative conditions before undergoing the surgery.

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Written by Li Li Jie
Obstetrics and Gynecology
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What is a good treatment for uterine prolapse?

Generally, mild uterine prolapse does not have a significant impact on the body and can continue to be observed. It is also important to frequently perform anal contraction exercises to prevent the worsening of uterine prolapse. If uterine prolapse severely affects sexual life and normal daily activities, surgical treatment should be considered. This can include repair of the anterior and posterior vaginal wall, or partial cervical resection combined with repair of the anterior and posterior vaginal wall. If necessary, consider performing a vaginal hysterectomy. Regularly practicing yoga at home and running daily if possible can effectively enhance body resistance and also prevent severe uterine prolapse.