What should I do if I have uterine prolapse during pregnancy?

Written by Du Rui Xia
Obstetrics
Updated on May 21, 2025
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When suffering from uterine prolapse, women should pay attention to their daily lives and reduce some activities. It is important to avoid carrying loads on shoulders or overhead, engaging in heavy labor, and carrying heavy objects, as well as prolonged squatting. Attention should also be paid to consuming fresh vegetables and fruits, maintaining smooth bowel movements to prevent constipation, and absolutely avoiding forceful defecation. Additionally, it is crucial to keep warm and prevent colds and coughs. If coughing occurs during pregnancy, it is necessary to treat it actively. Women with uterine prolapse must cooperate with their doctors and take effective preventative measures, ensuring adequate rest. It is best to perform health exercises under the guidance of a doctor, as this can also effectively strengthen the support strength of the pelvic floor tissues.

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Written by Wang Jing Hua
Obstetrics and Gynecology
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Uterine prolapse bleeding, what's going on?

Uterine prolapse and vaginal bleeding typically occur due to infections related to the prolapse. Bleeding can also stem from precancerous lesions of the cervix, cervical inflammation, and other issues. Some cases involve bleeding from within the uterine cavity, which necessitates diagnostic examinations. Firstly, an examination of secretions is required, followed by an examination of the cervix to check for precancerous changes, cervical polyps, or severe cervical inflammation. Other potential causes include inflammation of the uterus, polyps of the endometrium, complications from intrauterine devices, or abnormal proliferation of the endometrium, among others.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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What are the symptoms of uterine prolapse?

Patients with mild uterine prolapse generally do not exhibit symptoms. Severe prolapse can cause pulling on the ligaments and fasciae, resulting in pelvic congestion, with patients experiencing varying degrees of soreness in the lower back or a sensation of heaviness. Symptoms become noticeable after standing for extended periods or after fatigue but significantly lessen after resting in bed. It is crucial for patients experiencing uterine prolapse to seek timely medical examination at a hospital to determine the severity of the condition. Patients with mild uterine prolapse can also use traditional Chinese medicine or acupuncture and other physical therapies to promote the recovery of pelvic floor muscle tension and relieve local symptoms. If the prolapse is severe, surgical treatment may be necessary, and it is generally advised to avoid cold and fatigue.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Causes of uterine prolapse

Uterine prolapse is a common gynecological condition, primarily caused by damage to the pelvic floor tissues during childbirth. As the fetus descends during labor, it can damage the pelvic floor muscles and fascia, leading to a reduction in their supportive strength, which in turn causes the prolapse of the uterus and vagina. Additionally, aging is another main cause of uterine prolapse. As age increases, relaxation of the cervix, various uterine ligaments, and pelvic floor fascial muscles also contribute significantly to uterine prolapse.

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Written by Gao Tian
General Surgery
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How is a uterine prolapse surgery performed?

Regarding how to perform surgery for uterine prolapse, first, we must define what uterine prolapse is. It mainly refers to the descent from the normal position through the vagina, with the external cervix reaching below the level of the ischial spines, or even completely protruding outside the vaginal opening, which is called uterine prolapse. Therefore, preoperative assessments need to be conducted before surgery to check for inflammation and other methods. Then, there are two types of treatments: surgical and non-surgical. Non-surgical treatment mainly includes pelvic floor muscle exercises and physical therapy such as placing a uterine pessary. Surgical treatment involves surgical intervention based on the location of the prolapse.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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How to treat mild uterine prolapse?

In cases of mild uterine prolapse, surgical treatment is generally not chosen. Instead, patients can be advised to perform anal contraction exercises. Anal contraction exercises, also known as pelvic floor muscle exercises, strengthen the muscles and fascia of the pelvic floor, enhancing its support function and alleviating the degree of uterine prolapse. Additionally, treatment methods should be selected based on the patient's age. For older patients, according to the needs of their condition, a pessary may be used to relieve symptoms.