Does uterine prolapse affect menstruation?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on March 03, 2025
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In most cases, uterine prolapse does not affect the normal menstrual cycle in women. However, in very rare instances where the symptoms of uterine prolapse are severe, part of the uterus may prolapse outside the vagina, such as external cervical protrusion. This can cause the cervical tissue to rub against the underwear, leading to local ulcers and even infections. At this point, this can result in the presence of purulent vaginal discharge or bleeding in women. If a woman's immune resistance decreases, the infection can ascend, causing inflammation of the uterine lining. This condition can affect the menstrual cycle, with some women experiencing increased menstrual flow. Additionally, some women may exhibit irregular cycles, irregular vaginal bleeding, and abdominal pain.

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Written by Du Rui Xia
Obstetrics
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What should I do if I have uterine prolapse during pregnancy?

When suffering from uterine prolapse, women should pay attention to their daily lives and reduce some activities. It is important to avoid carrying loads on shoulders or overhead, engaging in heavy labor, and carrying heavy objects, as well as prolonged squatting. Attention should also be paid to consuming fresh vegetables and fruits, maintaining smooth bowel movements to prevent constipation, and absolutely avoiding forceful defecation. Additionally, it is crucial to keep warm and prevent colds and coughs. If coughing occurs during pregnancy, it is necessary to treat it actively. Women with uterine prolapse must cooperate with their doctors and take effective preventative measures, ensuring adequate rest. It is best to perform health exercises under the guidance of a doctor, as this can also effectively strengthen the support strength of the pelvic floor tissues.

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Written by Shen Li Wen
Obstetrics and Gynecology
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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 Li Lin
Obstetrics and Gynecology
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Can uterine prolapse be seen with the naked eye?

Uterine prolapse occurs when the uterus descends from its normal position, falling along the vaginal opening and moving out of its normal location, with the cervix or the entire uterus reaching or completely coming out of the vaginal opening. The main causes of uterine prolapse are childbirth injuries, prolonged increased abdominal pressure, and poor development of pelvic floor tissues. In mild cases of uterine prolapse, patients mostly do not have any symptoms and the condition is only identified during a gynecological examination. However, in severe cases of uterine prolapse, patients feel a mass coming out of the vaginal opening while walking, working, or squatting, and in serious cases, the entire uterus can completely prolapse out of the vaginal opening, becoming visible to the naked eye.

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Written by Du Rui Xia
Obstetrics
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Can postpartum constipation cause uterine prolapse?

If there is severe constipation after childbirth, and it is not corrected in time, long-term constipation can lead to uterine prolapse in women. Postpartum constipation increases abdominal pressure, which affects the recovery of pelvic floor muscles, causing the loss of support in the pelvic floor muscles and thus leading to uterine prolapse. However, the main factor contributing to uterine prolapse is not constipation but the damage caused by childbirth, which is the primary cause. After childbirth, the pelvic floor muscles are weakened. Whether standing, bearing weight, or holding breath for a long period, thereby increasing abdominal pressure, can lead to the inability of the pelvic floor tissues to support and stabilize the internal organs of the pelvis, resulting in a prolapse.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Can uterine prolapse be cured?

Uterine prolapse in women is treatable. Depending on the severity of the prolapse, different treatment methods are applied. For example, women with mild to moderate uterine prolapse can adopt conservative treatment methods such as pelvic floor exercises. The specific method involves contracting the anus for 3 seconds, then relaxing, and repeating this action. Do 30 repetitions per set, and based on personal physical condition, 2-3 sets can be performed daily. This can be complemented with acupoint massage or by taking traditional Chinese medicine orally to help replenish qi and blood. In cases of severe uterine prolapse, surgery is often necessary and can yield very good treatment outcomes. (Please use medication under the guidance of a doctor.)