Uterine prolapse is classified into several degrees.

Written by Liu Jian Wei

Obstetrics and Gynecology

Updated on September 24, 2024

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The current grading of uterine prolapse commonly used in China can be divided into mild, moderate, and severe. The grading is based on the position and severity of the prolapse. Generally, mild indicates that the prolapse of the uterus has not exceeded the external orifice of the vagina. Moderate indicates that part of the uterus has prolapsed beyond the vaginal orifice, and the most severe suggests that the uterus has completely prolapsed to the external orifice of the vagina. Therefore, a gynecological examination is needed in the clinic for assessment.

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Written by Shen Li Wen

Obstetrics and Gynecology

52sec

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Can you still have children with uterine prolapse?

Most women with uterine prolapse are not affected in their ability to become pregnant and give birth normally. However, in rare cases, symptoms can be severe when women suffer from uterine prolapse, with part of the uterus protruding outside the vagina. This may cause friction with the underwear, leading to localized ulcers or even infections, causing purulent vaginal discharge or bleeding. This can affect the normal passage of sperm and impact normal pregnancy. For these women, anti-inflammatory treatment can be administered first. After healing, it generally does not affect normal conception. After conception, as the size of the uterus increases and moves from the pelvic cavity into the abdominal cavity, the symptoms of uterine prolapse tend to decrease.

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Written by Shen Li Wen

Obstetrics and Gynecology

53sec

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The main causes of uterine prolapse

The causes of uterine prolapse in women are complex, with the most common being pregnancy and childbirth, especially multiple childbirths, which can lead to damage to a woman's pelvic floor muscles. Some women experience this during vaginal delivery using instruments such as forceps or vacuum extractors, which can injure the pelvic muscles and lead to uterine prolapse. Some women may engage in heavy physical labor too soon after childbirth before their pelvic floor functions have recovered, affecting the recovery of pelvic tissue tension and leading to uterine prolapse. Additionally, uterine prolapse may also occur in women who are overweight, suffer from internal medical conditions such as chronic cough, ascites, or constipation, which increase the pressure inside the abdominal cavity.

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Written by Hou Jie

Obstetrics and Gynecology

1min 11sec

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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 Shen Li Wen

Obstetrics and Gynecology

43sec

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What are the clinical manifestations of uterine prolapse?

When women experience uterine prolapse, the clinical symptoms vary depending on the severity of the condition. For instance, mild uterine prolapse often does not cause any discomfort. Severe uterine prolapse, however, may be due to the pulling of the uterus, leading to a reflex tension in the surrounding ligaments and causing congestion in the pelvic area. Women may feel pain in their sacral or lower abdominal area, which intensifies with excessive fatigue or prolonged standing. Some women may also experience stress urinary incontinence or changes in bowel behavior, such as constipation.

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Written by Sun Shan Shan

Obstetrics and Gynecology

1min 7sec

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Uterine prolapse is treated in the Department of Gynecology.

Uterine prolapse requires registration with the gynecology department as it is a type of gynecological disease. There are many causes of uterine prolapse, including pregnancy and childbirth. Particularly, vaginal delivery before childbirth or difficult deliveries involving suction can weaken the supporting strength of the pelvic fascia, ligaments, and muscles due to excessive stretching, leading to uterine prolapse. Additionally, aging, especially post-menopause, can cause an atrophy of the supporting structures, also leading to uterine prolapse. Other causes include chronic cough, abdominal effusion, and obesity, which can all lead to uterine prolapse. Therefore, once uterine prolapse occurs, it is necessary to promptly visit a hospital for examination to determine the extent of the prolapse, and treatment should be conducted according to the examination results.