Can you still have children with uterine prolapse?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on December 28, 2024
00:00
00:00

Most women with uterine prolapse are not affected in their ability to become pregnant and give birth normally. However, in rare cases, symptoms can be severe when women suffer from uterine prolapse, with part of the uterus protruding outside the vagina. This may cause friction with the underwear, leading to localized ulcers or even infections, causing purulent vaginal discharge or bleeding. This can affect the normal passage of sperm and impact normal pregnancy. For these women, anti-inflammatory treatment can be administered first. After healing, it generally does not affect normal conception. After conception, as the size of the uterus increases and moves from the pelvic cavity into the abdominal cavity, the symptoms of uterine prolapse tend to decrease.

Other Voices

doctor image
home-news-image
Written by Li Shun Hua
Obstetrics and Gynecology
50sec home-news-image

Does uterine prolapse affect pregnancy?

Uterine prolapse, as long as it does not affect sexual intercourse, generally does not impact the ability to conceive. Uterine prolapse can be classified into three degrees. First-degree uterine prolapse does not affect pregnancy since it allows for normal sexual activity. However, in the case of third-degree uterine prolapse, the uterus has prolapsed out of the vagina and sometimes cannot be repositioned, thus interfering with sexual activity and affecting the ability to conceive. Therefore, whether uterine prolapse impacts pregnancy depends on the patient's condition, as well as whether they have normal menstruation or normal endocrine function.

doctor image
home-news-image
Written by Shen Li Wen
Obstetrics and Gynecology
51sec home-news-image

Will intercourse worsen uterine prolapse?

Uterine prolapse in women can be categorized into mild, moderate, and severe based on the symptoms. It occurs due to damage to the pelvic floor muscles, causing the uterus to descend from its original position and protrude through the vagina. Normal sexual activity does not affect the function of the pelvic floor muscles nor exacerbate the symptoms of uterine prolapse. However, in certain cases, such as severe prolapse where part of the uterus extends beyond the vaginal opening, like when the cervix is exposed outside the vagina, friction between the cervix and underwear might occur during normal walking or activities. This friction can cause small ulcers that may bleed or become infected, producing purulent discharge during sexual intercourse.

doctor image
home-news-image
Written by Liu Jian Wei
Obstetrics and Gynecology
32sec home-news-image

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.

doctor image
home-news-image
Written by Li Shun Hua
Obstetrics and Gynecology
43sec home-news-image

Can an ultrasound detect uterine prolapse?

Uterine prolapse cannot be detected through an ultrasound, because during the ultrasound when it is necessary to hold urine, the uterus is lifted, so the degree and severity of uterine prolapse cannot be determined by this method. Uterine prolapse can be diagnosed by a gynecologist's examination, which can also determine the severity of the prolapse. Treatment methods should be determined based on the severity of the prolapse and the symptoms of the patient. Mild uterine prolapse might recover through treating the underlying disease and exercising. However, uterine prolapse of second degree or higher must be treated surgically to be restored to the normal position.

doctor image
home-news-image
Written by Wang Jing Hua
Obstetrics and Gynecology
49sec home-news-image

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.