How to deal with second-degree uterine prolapse?

Written by Liu Jian Wei

Obstetrics and Gynecology

Updated on November 27, 2024

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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

54sec

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Can you have sexual intercourse with uterine prolapse?

When a woman experiences uterine prolapse, it generally does not affect normal sexual activity, as symptoms might improve in a supine position, regardless of the type of prolapse. For instance, with moderate uterine prolapse, where the cervix protrudes beyond the vaginal opening, it might retract back into place when lying down. However, during sexual activity, cleanliness and hygiene should be considered. When uterine prolapse is severe, part of the uterus may be exposed at or outside the vaginal opening. Prolonged walking or other activities can cause friction, leading to possible cervical erosion and infections. Therefore, during intercourse, actions should not be too rough as it may exacerbate erosions or cause bleeding.

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Written by Liu Jian Wei

Obstetrics and Gynecology

32sec

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Can a belly band be used for uterine prolapse?

For patients with uterine prolapse, the initial treatment adopted is pelvic floor exercises. The use of abdominal binders is less common clinically, as abdominal binders can only tighten the lower abdomen and have no significant effect on uterine prolapse. If the patient's symptoms of uterine prolapse are severe, it is recommended that the patient seeks medical evaluation at a local hospital. If necessary, surgical repair treatment may be required.

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Written by Shen Li Wen

Obstetrics and Gynecology

47sec

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Will sexual intercourse cause bleeding in cases of uterine prolapse?

When women suffer from uterine prolapse, bleeding usually does not occur during intercourse. Bleeding only occurs in certain special circumstances, such as when a woman suffers from severe cervical erosion or acute cervical inflammation, where the cervical surface exhibits congestion and edema. Furthermore, some women with severe symptoms of uterine prolapse might have the cervix protruding outside the vaginal opening; the friction between the cervix and undergarments can lead to local ulcers, and even infections. In such cases, intercourse might cause bleeding from cervical trauma. Generally, the amount of bleeding is relatively small, which may manifest as blood streaks in vaginal discharge.

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Written by Shen Li Wen

Obstetrics and Gynecology

51sec

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Will intercourse worsen uterine prolapse?

Uterine prolapse in women can be categorized into mild, moderate, and severe based on the symptoms. It occurs due to damage to the pelvic floor muscles, causing the uterus to descend from its original position and protrude through the vagina. Normal sexual activity does not affect the function of the pelvic floor muscles nor exacerbate the symptoms of uterine prolapse. However, in certain cases, such as severe prolapse where part of the uterus extends beyond the vaginal opening, like when the cervix is exposed outside the vagina, friction between the cervix and underwear might occur during normal walking or activities. This friction can cause small ulcers that may bleed or become infected, producing purulent discharge during sexual intercourse.

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Written by Zhang Xiu Rong

Obstetrics and Gynecology

1min

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How to recover from uterine prolapse?

Uterine prolapse can be classified into first-degree, second-degree, and third-degree prolapse. Typically, first-degree prolapse is considered mild and can generally be managed with a pessary or by performing exercises to strengthen the anal levator muscles and pelvic floor rehabilitation movements, which usually achieve the treatment purpose for mild uterine prolapse. Moderate or severe uterine prolapse must be treated according to the specific condition. In cases of severe prolapse, surgical options can be considered. Common procedures include uterine ligament suspension or vaginal hysterectomy. The treatment for uterine prolapse generally depends on age. For older individuals with severe prolapse, vaginal hysterectomy is often recommended. For younger patients with severe prolapse who wish to return to normal, uterine ligament suspension surgery is generally an option.