Can you have intercourse with uterine prolapse?

Written by Jia Rui
Obstetrics and Gynecology
Updated on September 19, 2024
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Generally, it is possible, but it specifically depends on the condition of the disease. In severe cases of uterine prolapse, the entire uterus can protrude outside the vaginal opening, obstructing the passage for intercourse, making intercourse impossible. In mild cases of uterine prolapse or bulging, although it does not significantly affect intercourse, it can affect the quality of intercourse and cause abnormal sensations. Uterine prolapse is classified into three grades: first grade where the cervix is just above the hymen, second grade where both the cervix and part of the uterine body prolapse outside the vagina, and third grade where the entire uterine body is prolapsed outside the vagina. If suffering from uterine prolapse, it is recommended to seek active treatment, as early-stage uterine prolapse can be improved through physical therapy and exercise.

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Written by Li Hu Chen
Imaging Center
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Can a uterine prolapse be detected with an ultrasound?

Uterine prolapse is generally not diagnosed through ultrasound, as the standard for diagnosing uterine prolapse is a gynecological exam. During the gynecological examination, the level to which the cervix has descended is observed, whether it is in the middle of the vagina or has reached the vaginal opening, and in severe cases of uterine prolapse, the cervix can protrude out of the vaginal opening. Of course, if there is uterine prolapse, it can also be detected during an ultrasound, where the significantly lower position of the uterus is evident. However, in reality, to diagnose uterine prolapse, an ultrasound is not strictly necessary; a simple gynecological exam can suffice for diagnosis.

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Written by Jia Rui
Obstetrics and Gynecology
1min 9sec home-news-image

Can you have intercourse with uterine prolapse?

Generally, it is possible, but it specifically depends on the condition of the disease. In severe cases of uterine prolapse, the entire uterus can protrude outside the vaginal opening, obstructing the passage for intercourse, making intercourse impossible. In mild cases of uterine prolapse or bulging, although it does not significantly affect intercourse, it can affect the quality of intercourse and cause abnormal sensations. Uterine prolapse is classified into three grades: first grade where the cervix is just above the hymen, second grade where both the cervix and part of the uterine body prolapse outside the vagina, and third grade where the entire uterine body is prolapsed outside the vagina. If suffering from uterine prolapse, it is recommended to seek active treatment, as early-stage uterine prolapse can be improved through physical therapy and exercise.

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Written by Li Shun Hua
Obstetrics and Gynecology
1min 2sec home-news-image

Symptoms of uterine prolapse

The main symptom of uterine prolapse is the protrusion of a mass from the vaginal opening. Uterine prolapse can be divided into three degrees. In the first degree of uterine prolapse, only the cervix is visible at the vaginal opening. At this stage, symptoms are not very pronounced and may include rapid urination or urinary incontinence. In the second degree, the cervix and part of the uterine body protrude from the vaginal opening. This can lead to difficulty walking or abrasion, and bleeding from the vaginal opening may occur. If the entire uterus prolapses, it can lead to an inability to urinate or difficulty defecating. Patients may experience pain in the lower abdomen or difficulties and abrasion while walking, and severe cases can lead to bleeding from the cervix or significant discharge, potentially resulting in infection.

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Written by Hou Jie
Obstetrics and Gynecology
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What are the symptoms of uterine prolapse?

Mild uterine prolapse may have no clinical symptoms, while severe cases can feel a sense of falling and lower back pain, along with a mass protruding from the vagina. This mass may increase and the sensation of falling becomes more pronounced with long periods of standing, vigorous activity, or increased abdominal pressure. If there is a bulge in the anterior vaginal wall or the bladder, with the urethra and the posterior angle of the bladder becoming sharp, it can lead to difficulty urinating or urinary retention. If a urinary tract infection occurs subsequently, symptoms such as frequent urination, urgency, and painful urination may arise. If the bulge in the bladder coincides with a urethral bulge and a complete protrusion of the anterior vaginal wall, where the posterior angle of the urethra and bladder disappears, urinary leakage can occur during coughing, straining, or other activities that increase abdominal pressure, leading to what is called stress urinary incontinence.

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How to check for uterine prolapse after childbirth

During routine postnatal checks after natural childbirth, it is important to evaluate the recovery of pelvic floor function, including checking for the presence and severity of uterine prolapse. Uterine prolapse can be assessed in the following ways: First, a gynecological examination can be conducted. Through this examination, the condition of the uterine prolapse and the position of the cervix can be clearly identified and staged. Second, performing a perineal ultrasound can generally assess the condition of uterine prolapse and the state of pelvic floor function. Third, in cases of severe uterine prolapse, it is also necessary to perform a urinary system examination, such as urodynamic testing, because uterine prolapse often occurs simultaneously with bladder prolapse.