Does uterine prolapse affect pregnancy?

Written by Zhao Li Li
Obstetrics
Updated on February 23, 2025
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Under normal circumstances, it is still necessary to determine the degree of uterine prolapse to understand whether it affects pregnancy. If the degree of uterine prolapse is mild, and it is just the cervix bulging into the vaginal wall, it generally does not have a significant impact on a normal pregnancy. If the uterine prolapse is more severe, and part of the cervix or part of the uterus has prolapsed beyond the hymen, this condition is considered to be within a mild range of 2nd to 3rd degree of prolapse. This severity of uterine prolapse can greatly impact pregnancy, and it is very easy to lead to miscarriage after becoming pregnant. Therefore, it is still necessary to undergo surgical repair before attempting to conceive.

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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 Jia Rui
Obstetrics and Gynecology
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Can uterine prolapse heal itself?

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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Written by Yan Qiao
Obstetrics and Gynecology
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What should I do if I have uterine prolapse during menstruation?

The normal position of the uterus is within the female pelvis. When a prolapse occurs, the uterus gradually descends downwards. In cases of mild to moderate uterine prolapse, since the majority of the uterus remains inside the vagina, there is no particular need for special attention during menstruation—regular care will suffice. In severe cases of uterine prolapse, the uterus might completely protrude outside the vaginal opening. In such circumstances, extra care may be needed during menstruation to prevent menstrual blood from staining undergarments. You might need to use larger sanitary pads; other than that, there is nothing particularly different that needs attention. Additionally, remember to change sanitary pads and underwear regularly to avoid potential infections.

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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 Shen Li Wen
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Can you have sexual intercourse with uterine prolapse?

When a woman experiences uterine prolapse, it generally does not affect normal sexual activity, as symptoms might improve in a supine position, regardless of the type of prolapse. For instance, with moderate uterine prolapse, where the cervix protrudes beyond the vaginal opening, it might retract back into place when lying down. However, during sexual activity, cleanliness and hygiene should be considered. When uterine prolapse is severe, part of the uterus may be exposed at or outside the vaginal opening. Prolonged walking or other activities can cause friction, leading to possible cervical erosion and infections. Therefore, during intercourse, actions should not be too rough as it may exacerbate erosions or cause bleeding.