Is uterine prolapse a common gynecological disease?

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on June 29, 2025
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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 Zhang Xiu Rong
Obstetrics and Gynecology
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Can mild uterine prolapse heal by itself?

Mild uterine prolapse generally involves a period of observation, as there are no specific treatments available at this stage. For mild prolapse, supports such as a pessary or oral administration of Bu Zhong Yi Qi Wan can be used for symptomatic treatment. It is important to rest, avoid overexertion, prolonged standing, or heavy physical labor, and prevent constipation by getting plenty of rest. Observation is sufficient if there is no further progression. In cases of moderate or severe prolapse, treatment should be tailored to the situation. Moderate prolapse can generally be addressed with ligament suspension surgery. In cases of severe prolapse, where the uterus completely prolapses out of the vaginal opening, suspension surgery or a vaginal hysterectomy may be options. (Please use medication under the guidance of a professional physician, and do not self-medicate.)

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

There are many causes of uterine prolapse in women, for instance, the most common one occurs during pregnancy and childbirth, especially when methods such as forceps delivery are used, which may damage the pelvic floor muscles or injure the vaginal wall. This causes damage to the pelvic floor muscles, and if not properly recovered postpartum, it can lead to prolapse. Additionally, some women might suffer from conditions like chronic pharyngitis, chronic bronchitis, long-term coughing, or have liver diseases or malignant tumors leading to a significant build-up of ascites. Frequent heavy physical labor or even simple obesity can increase abdominal pressure, causing uterine prolapse.

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Written by Du Rui Xia
Obstetrics
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Symptoms of postpartum uterine prolapse

When postpartum women experience uterine prolapse, they often feel a sensation of heaviness in the abdomen, noticing a swollen mass protruding from the vulva. Postpartum uterine prolapse can be categorized into mild, moderate, and severe prolapse. In mild cases, there is generally just a sensation of heaviness, while moderate to severe prolapse can cause difficulties in urinating and urinary incontinence. Additionally, during a gynecological examination, a protruding cervix can be detected near the entrance of the vagina, and when this condition occurs, timely rehabilitative treatment is necessary.

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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 Li Li Jie
Obstetrics and Gynecology
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What is a good treatment for uterine prolapse?

Generally, mild uterine prolapse does not have a significant impact on the body and can continue to be observed. It is also important to frequently perform anal contraction exercises to prevent the worsening of uterine prolapse. If uterine prolapse severely affects sexual life and normal daily activities, surgical treatment should be considered. This can include repair of the anterior and posterior vaginal wall, or partial cervical resection combined with repair of the anterior and posterior vaginal wall. If necessary, consider performing a vaginal hysterectomy. Regularly practicing yoga at home and running daily if possible can effectively enhance body resistance and also prevent severe uterine prolapse.