Can you have intercourse with uterine prolapse?

Written by Jia Rui
Obstetrics and Gynecology
Updated on September 19, 2024
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Generally, it is possible, but it specifically depends on the condition of the disease. In severe cases of uterine prolapse, the entire uterus can protrude outside the vaginal opening, obstructing the passage for intercourse, making intercourse impossible. In mild cases of uterine prolapse or bulging, although it does not significantly affect intercourse, it can affect the quality of intercourse and cause abnormal sensations. Uterine prolapse is classified into three grades: first grade where the cervix is just above the hymen, second grade where both the cervix and part of the uterine body prolapse outside the vagina, and third grade where the entire uterine body is prolapsed outside the vagina. If suffering from uterine prolapse, it is recommended to seek active treatment, as early-stage uterine prolapse can be improved through physical therapy and exercise.

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What are the causes of uterine prolapse?

There are many causes of uterine prolapse in women, for instance, the most common one occurs during pregnancy and childbirth, especially when methods such as forceps delivery are used, which may damage the pelvic floor muscles or injure the vaginal wall. This causes damage to the pelvic floor muscles, and if not properly recovered postpartum, it can lead to prolapse. Additionally, some women might suffer from conditions like chronic pharyngitis, chronic bronchitis, long-term coughing, or have liver diseases or malignant tumors leading to a significant build-up of ascites. Frequent heavy physical labor or even simple obesity can increase abdominal pressure, causing uterine prolapse.

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What are the symptoms of uterine prolapse?

Mild uterine prolapse may have no clinical symptoms, while severe cases can feel a sense of falling and lower back pain, along with a mass protruding from the vagina. This mass may increase and the sensation of falling becomes more pronounced with long periods of standing, vigorous activity, or increased abdominal pressure. If there is a bulge in the anterior vaginal wall or the bladder, with the urethra and the posterior angle of the bladder becoming sharp, it can lead to difficulty urinating or urinary retention. If a urinary tract infection occurs subsequently, symptoms such as frequent urination, urgency, and painful urination may arise. If the bulge in the bladder coincides with a urethral bulge and a complete protrusion of the anterior vaginal wall, where the posterior angle of the urethra and bladder disappears, urinary leakage can occur during coughing, straining, or other activities that increase abdominal pressure, leading to what is called stress urinary incontinence.

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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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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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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.