How to recover from uterine prolapse?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on September 01, 2024
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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.

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Written by Shen Li Wen
Obstetrics and Gynecology
1min 9sec home-news-image

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 Xu Xiao Ming
Obstetrics and Gynecology
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What causes uterine prolapse?

The most common cause of uterine prolapse is childbirth injury. It occurs during childbirth, especially in vaginal surgeries, assisted deliveries, or prolonged second stages of labor, where the pelvic floor muscles and fascia are damaged. Additionally, if a woman engages in physical labor too soon during the postpartum period, or uses an abdominal binder prematurely, it can also lead to uterine prolapse. The second scenario involves a long-term increase in abdominal pressure, which might be due to chronic coughing or difficulty in bowel movements, causing a sustained increase in abdominal pressure and pushing the uterus downward. The third case is due to poor developmental tissue in the pelvis or degenerative changes leading to uterine prolapse.

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Written by Zhang Xiu Rong
Obstetrics and Gynecology
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Is uterine prolapse a common gynecological disease?

Uterine prolapse makes it easier to contract gynecological diseases. If the prolapsed uterus is close to the vaginal opening, various bacteria from the vulva can easily cause retrograde infections. In cases of third-degree prolapse, where the uterus protrudes outside the vaginal opening, various bacteria can directly invade the cervix and uterine body, leading to irregular bleeding and exacerbated vaginal inflammation. In severe cases, it significantly impacts daily life. Therefore, mild uterine prolapse generally does not pose a significant problem, but moderate and severe uterine prolapse can easily lead to vaginal and cervical inflammation. Bleeding caused by friction on the cervical surface may occur, and it is necessary to actively provide symptomatic treatment at this time. If the patient is relatively young and wishes to preserve the uterus, a uterine ligament suspension surgery can be performed to alleviate the condition of the prolapsed uterus.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Can uterine prolapse have a vaginal delivery?

Uterine prolapse does not affect the width of the soft birth canal. It is still possible to have a vaginal delivery with uterine prolapse, as any form of childbirth after a full-term pregnancy can exacerbate uterine prolapse. However, uterine prolapse is not an indication for cesarean delivery; vaginal delivery should still be attempted if possible. Forty-two days after childbirth, a routine pelvic floor examination should be carried out. If there is pelvic floor dysfunction or uterine prolapse, treatment should be administered based on the severity of the condition. Eventually, some individuals may need surgical treatment, not all can be managed conservatively.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Can a belly band be used for uterine prolapse?

For patients with uterine prolapse, the initial treatment adopted is pelvic floor exercises. The use of abdominal binders is less common clinically, as abdominal binders can only tighten the lower abdomen and have no significant effect on uterine prolapse. If the patient's symptoms of uterine prolapse are severe, it is recommended that the patient seeks medical evaluation at a local hospital. If necessary, surgical repair treatment may be required.