Postoperative sequelae of uterine prolapse surgery

Written by Xu Xiao Ming
Obstetrics and Gynecology
Updated on June 11, 2025
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After undergoing a hysterectomy for uterine prolapse, the patient will be missing an organ, as the uterus is removed, and possibly the cervix as well, and part of the vagina may also be removed. Therefore, patients who have had this surgery may experience some difficulties during sexual activity. It is advised that such patients should rest more and avoid vigorous sexual activity. Additionally, after the removal of the uterus due to uterine prolapse, the patient will no longer menstruate and will not have reproductive capabilities. Therefore, it is suggested that patients consider carefully the postoperative conditions before undergoing the surgery.

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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.

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Written by Liu Jian Wei
Obstetrics and Gynecology
45sec home-news-image

Can pelvic organ prolapse be detected by ultrasound?

For uterine prolapse, ultrasound examination mostly cannot detect it. The preferred method of examination for uterine prolapse is gynecological examination. Gynecological examination can observe the position of the vaginal cervix, effectively assess uterine prolapse, and determine its grade. This helps to clarify whether it is a prolapse of the anterior uterine wall, the posterior uterine wall, or the uterus itself. Based on the results of the examination, the next step in the treatment plan can be formulated. In cases of severe uterovaginal prolapse, surgical treatment may be necessary when required.

doctor image
home-news-image
Written by Xu Xiao Ming
Obstetrics and Gynecology
38sec home-news-image

Postoperative sequelae of uterine prolapse surgery

After undergoing a hysterectomy for uterine prolapse, the patient will be missing an organ, as the uterus is removed, and possibly the cervix as well, and part of the vagina may also be removed. Therefore, patients who have had this surgery may experience some difficulties during sexual activity. It is advised that such patients should rest more and avoid vigorous sexual activity. Additionally, after the removal of the uterus due to uterine prolapse, the patient will no longer menstruate and will not have reproductive capabilities. Therefore, it is suggested that patients consider carefully the postoperative conditions before undergoing the surgery.

doctor image
home-news-image
Written by Liu Jian Wei
Obstetrics and Gynecology
31sec home-news-image

How to deal with second-degree uterine prolapse?

Once a second-degree uterine prolapse is detected, it is also necessary to determine the treatment plan based on the patient's age and the presence or absence of clinical symptoms. If the patient is young and without apparent clinical symptoms, conservative treatment methods can be chosen. However, if the symptoms are severe and affect the patient's daily life, surgical treatment is needed. The specific surgical treatment plan should also take into account the patient's wishes.

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Written by Shen Li Wen
Obstetrics and Gynecology
1min 9sec home-news-image

Can you get pregnant with uterine prolapse?

When women experience uterine prolapse, if it is only mild or moderate, it usually does not affect their ability to become pregnant normally. In most cases, when the woman lies down, the protruding part of the uterus might naturally retract, or it can be manually pushed back into the vagina. During intercourse, after ejaculation, the cervix may still be immersed in semen, allowing sperm to pass through the cervix smoothly, and the woman can become pregnant normally. However, in cases of severe uterine prolapse, such as when the entire uterus descends outside the vagina, and cannot be repositioned back into the vagina even when lying down, during intercourse, the ejaculated semen may not sufficiently immerse the cervix, and sperm may not be able to normally enter the cervix and uterine cavity. Additionally, many women with severe uterine prolapse might experience cervix erosion, bleeding, and infection due to friction, which can produce inflammatory cells that hinder the normal passage of sperm, leading to difficulties in conception.