Can uterine prolapse heal itself?

Written by Jia Rui
Obstetrics and Gynecology
Updated on October 30, 2024
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Uterine prolapse is generally difficult to heal completely on its own. Uterine prolapse occurs when the uterus descends from its normal position along the vagina, with the cervical external os reaching below the level of the ischial spine, or even the entire uterus protruding outside the vaginal opening. This condition is difficult to recover from by itself.

From the perspective of traditional Chinese medicine, the causes of uterine prolapse are generally attributed to physical weakness or deficiency of Qi and blood. Therefore, it may be appropriate to use some tonic Chinese herbal medicines for treatment. Additionally, comprehensive conditioning through diet and exercise can also be beneficial. Enhancing nutrition by consuming foods such as black chicken, Chinese yam, goji berries, and jujube, which are considered to have tonic effects in traditional Chinese medicine, can strengthen the body and improve conditions like uterine prolapse, providing significant help. If the prolapse is beyond the hymen and symptomatic, surgical treatment should be considered.

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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.

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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.

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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 Du Rui Xia
Obstetrics
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How long after natural childbirth is it easy for uterine prolapse to occur?

In clinical practice, it is common to see cases of uterine prolapse after natural childbirth. This is mainly because during pregnancy, the uterus is prone to various downward pressures. If the body has some imperfections in function, this can lead to uterine prolapse. After childbirth, some women may experience uterine prolapse as soon as one month, or even ten days or eight days postpartum. However, due to the increasing awareness and importance placed on postnatal confinement after natural childbirth, the incidence of uterine prolapse is decreasing. It is advised that women should rest during confinement and avoid heavy physical labor.

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Written by Shen Li Wen
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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.