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 Xu Xiao Ming

Obstetrics and Gynecology

44sec

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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.

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Written by Liu Jian Wei

Obstetrics and Gynecology

39sec

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Causes of uterine prolapse

Uterine prolapse is a common gynecological condition, primarily caused by damage to the pelvic floor tissues during childbirth. As the fetus descends during labor, it can damage the pelvic floor muscles and fascia, leading to a reduction in their supportive strength, which in turn causes the prolapse of the uterus and vagina. Additionally, aging is another main cause of uterine prolapse. As age increases, relaxation of the cervix, various uterine ligaments, and pelvic floor fascial muscles also contribute significantly to uterine prolapse.

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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.

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Written by Liu Jian Wei

Obstetrics and Gynecology

31sec

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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

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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.