Can pelvic organ prolapse be detected by ultrasound?

Written by Liu Jian Wei
Obstetrics and Gynecology
Updated on September 14, 2024
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For uterine prolapse, ultrasound examination mostly cannot detect it. The preferred method of examination for uterine prolapse is gynecological examination. Gynecological examination can observe the position of the vaginal cervix, effectively assess uterine prolapse, and determine its grade. This helps to clarify whether it is a prolapse of the anterior uterine wall, the posterior uterine wall, or the uterus itself. Based on the results of the examination, the next step in the treatment plan can be formulated. In cases of severe uterovaginal prolapse, surgical treatment may be necessary when required.

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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 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 Shen Li Wen
Obstetrics and Gynecology
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Can you get pregnant with uterine prolapse?

When women experience uterine prolapse, if it is only mild or moderate, it usually does not affect their ability to become pregnant normally. In most cases, when the woman lies down, the protruding part of the uterus might naturally retract, or it can be manually pushed back into the vagina. During intercourse, after ejaculation, the cervix may still be immersed in semen, allowing sperm to pass through the cervix smoothly, and the woman can become pregnant normally. However, in cases of severe uterine prolapse, such as when the entire uterus descends outside the vagina, and cannot be repositioned back into the vagina even when lying down, during intercourse, the ejaculated semen may not sufficiently immerse the cervix, and sperm may not be able to normally enter the cervix and uterine cavity. Additionally, many women with severe uterine prolapse might experience cervix erosion, bleeding, and infection due to friction, which can produce inflammatory cells that hinder the normal passage of sperm, leading to difficulties in conception.

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Written by Shen Li Wen
Obstetrics and Gynecology
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What are the clinical manifestations of uterine prolapse?

When women experience uterine prolapse, the clinical symptoms vary depending on the severity of the condition. For instance, mild uterine prolapse often does not cause any discomfort. Severe uterine prolapse, however, may be due to the pulling of the uterus, leading to a reflex tension in the surrounding ligaments and causing congestion in the pelvic area. Women may feel pain in their sacral or lower abdominal area, which intensifies with excessive fatigue or prolonged standing. Some women may also experience stress urinary incontinence or changes in bowel behavior, such as constipation.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Causes of uterine prolapse

Uterine prolapse is a common gynecological condition, primarily caused by damage to the pelvic floor tissues during childbirth. As the fetus descends during labor, it can damage the pelvic floor muscles and fascia, leading to a reduction in their supportive strength, which in turn causes the prolapse of the uterus and vagina. Additionally, aging is another main cause of uterine prolapse. As age increases, relaxation of the cervix, various uterine ligaments, and pelvic floor fascial muscles also contribute significantly to uterine prolapse.