How to self-check for uterine prolapse

Written by Zhang Xiu Rong
Obstetrics and Gynecology
Updated on April 30, 2025
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Uterine prolapse can be self-detected. If you feel a swelling in the genital area, or something protruding by itself that disappears when lying flat, there is a high probability of uterine prolapse or significant bulging of the anterior or posterior vaginal wall. This method can be used for self-examination. It is best to visit a hospital for an annual gynecological check-up and ultrasound. Through a gynecological internal examination, the doctor can indirectly assess the condition of the cervix. Therefore, mild uterine prolapse is generally not detectable by oneself, and such conditions generally require a gynecological internal examination in a hospital for a definitive diagnosis. Only in cases of severe prolapse will abnormalities be noticeable.

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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 Liu Jian Wei
Obstetrics and Gynecology
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Uterine prolapse is classified into several degrees.

The current grading of uterine prolapse commonly used in China can be divided into mild, moderate, and severe. The grading is based on the position and severity of the prolapse. Generally, mild indicates that the prolapse of the uterus has not exceeded the external orifice of the vagina. Moderate indicates that part of the uterus has prolapsed beyond the vaginal orifice, and the most severe suggests that the uterus has completely prolapsed to the external orifice of the vagina. Therefore, a gynecological examination is needed in the clinic for assessment.

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Written by Jia Rui
Obstetrics and Gynecology
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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 Zhang Lu
Obstetrics
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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 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.