What is a good treatment for uterine prolapse?

Written by Li Li Jie
Obstetrics and Gynecology
Updated on April 27, 2025
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Generally, mild uterine prolapse does not have a significant impact on the body and can continue to be observed. It is also important to frequently perform anal contraction exercises to prevent the worsening of uterine prolapse.

If uterine prolapse severely affects sexual life and normal daily activities, surgical treatment should be considered. This can include repair of the anterior and posterior vaginal wall, or partial cervical resection combined with repair of the anterior and posterior vaginal wall. If necessary, consider performing a vaginal hysterectomy.

Regularly practicing yoga at home and running daily if possible can effectively enhance body resistance and also prevent severe uterine prolapse.

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Written by Xu Xiao Ming
Obstetrics and Gynecology
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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.

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Written by Shen Li Wen
Obstetrics and Gynecology
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The graded treatment for uterine prolapse is what?

According to the severity of female uterine prolapse, it can be categorized into first, second, and third degrees. For first and second degrees, non-surgical treatment methods can be used, such as the commonly practiced anal contraction exercises, which are a type of pelvic floor muscle training. The specific method involves contracting the anus for three seconds, then relaxing, and repeating this action 15 to 30 times per set. Depending on one's physical condition, two to three sets can be done each day. Generally, significant results can be seen after six to eight weeks of consistent practice. Additionally, some women who refuse surgery, such as older women, can also use a uterine pessary. Moreover, for mild or moderate uterine prolapse, treatments such as acupuncture and taking traditional Chinese medicine orally, such as Bu Zhong Yi Qi Tang, can be used. For severe uterine prolapse, surgery is often necessary, but the specific choice depends on various factors such as the woman's age, reproductive needs, and quality of life requirements. For example, older women in their seventies or eighties who might have poor physical condition and possibly no sexual activity might consider undergoing a vaginal closure procedure.

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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 Wang Jing Hua
Obstetrics and Gynecology
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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 Xu Xiao Ming
Obstetrics and Gynecology
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What causes uterine prolapse?

The most common causes of uterine prolapse can be categorized into three types. The first type is childbirth injury, which is the main cause of uterine prolapse. During childbirth, especially with vaginal surgical assistance or prolonged second stage of labor, uterine prolapse can occur. The second cause is long-term increased intra-abdominal pressure, such as chronic coughing, habitual constipation, prolonged standing, or weightlifting. These factors can contribute to uterine prolapse. The third type involves poor development or degenerative changes in the pelvic tissues. This mainly refers to uterine prolapse due to congenital deficiencies in pelvic floor development. Generally, childbirth injuries are the most common cause.