Natural childbirth uterine prolapse manifestations

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on September 03, 2024
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After vaginal childbirth, women may experience uterine prolapse due to being over-fatigued or engaging in physical labor too soon. Most women with mild symptoms show no clinical signs. As the symptoms worsen, some women may feel a sense of heaviness in the lower abdomen, and this sensation intensifies when squatting or using the restroom, with a feeling of heaviness in the vulva. Some women may feel something protruding from the vagina, which can be retracted back into the vagina when lying flat; this is uterine prolapse after childbirth. Typically, this condition can be improved by performing anal contraction exercises.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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How to deal with second-degree uterine prolapse?

Once a second-degree uterine prolapse is detected, it is also necessary to determine the treatment plan based on the patient's age and the presence or absence of clinical symptoms. If the patient is young and without apparent clinical symptoms, conservative treatment methods can be chosen. However, if the symptoms are severe and affect the patient's daily life, surgical treatment is needed. The specific surgical treatment plan should also take into account the patient's wishes.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Will intercourse worsen uterine prolapse?

Uterine prolapse in women can be categorized into mild, moderate, and severe based on the symptoms. It occurs due to damage to the pelvic floor muscles, causing the uterus to descend from its original position and protrude through the vagina. Normal sexual activity does not affect the function of the pelvic floor muscles nor exacerbate the symptoms of uterine prolapse. However, in certain cases, such as severe prolapse where part of the uterus extends beyond the vaginal opening, like when the cervix is exposed outside the vagina, friction between the cervix and underwear might occur during normal walking or activities. This friction can cause small ulcers that may bleed or become infected, producing purulent discharge during sexual intercourse.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Uterine prolapse is classified into several degrees.

The current grading of uterine prolapse commonly used in China can be divided into mild, moderate, and severe. The grading is based on the position and severity of the prolapse. Generally, mild indicates that the prolapse of the uterus has not exceeded the external orifice of the vagina. Moderate indicates that part of the uterus has prolapsed beyond the vaginal orifice, and the most severe suggests that the uterus has completely prolapsed to the external orifice of the vagina. Therefore, a gynecological examination is needed in the clinic for assessment.

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Written by Yan Qiao
Obstetrics and Gynecology
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How long does it take to recover from uterine prolapse by taking Bu Zhong Yi Qi Wan?

For patients with uterine prolapse, taking Bu Zhong Yi Qi Wan can promote the recovery of pelvic floor muscle tension and relieve local symptoms. Generally, if the symptoms are mild, the effect of taking Bu Zhong Yi Qi Wan can be quite significant. However, it is better to use it in combination with other treatment methods for a more pronounced effect, such as pelvic floor physiotherapy or wearing a uterine support device. For patients with mild symptoms, the effects of taking the medicine can be very noticeable and may also require a shorter duration. However, for those with more severe symptoms, the effects might not be as significant, and prolonged use of the medicine may not greatly alleviate the symptoms.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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How to recover from uterine prolapse?

Uterine prolapse can be classified into first-degree, second-degree, and third-degree prolapse. Typically, first-degree prolapse is considered mild and can generally be managed with a pessary or by performing exercises to strengthen the anal levator muscles and pelvic floor rehabilitation movements, which usually achieve the treatment purpose for mild uterine prolapse. Moderate or severe uterine prolapse must be treated according to the specific condition. In cases of severe prolapse, surgical options can be considered. Common procedures include uterine ligament suspension or vaginal hysterectomy. The treatment for uterine prolapse generally depends on age. For older individuals with severe prolapse, vaginal hysterectomy is often recommended. For younger patients with severe prolapse who wish to return to normal, uterine ligament suspension surgery is generally an option.