Does uterine prolapse affect pregnancy?

Written by Zhao Li Li
Obstetrics
Updated on February 23, 2025
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Under normal circumstances, it is still necessary to determine the degree of uterine prolapse to understand whether it affects pregnancy. If the degree of uterine prolapse is mild, and it is just the cervix bulging into the vaginal wall, it generally does not have a significant impact on a normal pregnancy. If the uterine prolapse is more severe, and part of the cervix or part of the uterus has prolapsed beyond the hymen, this condition is considered to be within a mild range of 2nd to 3rd degree of prolapse. This severity of uterine prolapse can greatly impact pregnancy, and it is very easy to lead to miscarriage after becoming pregnant. Therefore, it is still necessary to undergo surgical repair before attempting to conceive.

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Written by Shen Li Wen
Obstetrics and Gynecology
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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 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 Zhang Xiu Rong
Obstetrics and Gynecology
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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 Li Shun Hua
Obstetrics and Gynecology
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Does uterine prolapse affect pregnancy?

Uterine prolapse, as long as it does not affect sexual intercourse, generally does not impact the ability to conceive. Uterine prolapse can be classified into three degrees. First-degree uterine prolapse does not affect pregnancy since it allows for normal sexual activity. However, in the case of third-degree uterine prolapse, the uterus has prolapsed out of the vagina and sometimes cannot be repositioned, thus interfering with sexual activity and affecting the ability to conceive. Therefore, whether uterine prolapse impacts pregnancy depends on the patient's condition, as well as whether they have normal menstruation or normal endocrine function.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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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.