Will sexual intercourse cause bleeding in cases of uterine prolapse?

Written by Shen Li Wen
Obstetrics and Gynecology
Updated on February 06, 2025
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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 Zhang Lu
Obstetrics
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How to check for uterine prolapse after childbirth

During routine postnatal checks after natural childbirth, it is important to evaluate the recovery of pelvic floor function, including checking for the presence and severity of uterine prolapse. Uterine prolapse can be assessed in the following ways: First, a gynecological examination can be conducted. Through this examination, the condition of the uterine prolapse and the position of the cervix can be clearly identified and staged. Second, performing a perineal ultrasound can generally assess the condition of uterine prolapse and the state of pelvic floor function. Third, in cases of severe uterine prolapse, it is also necessary to perform a urinary system examination, such as urodynamic testing, because uterine prolapse often occurs simultaneously with bladder prolapse.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Does uterine prolapse require removal of the uterus?

When women experience uterine prolapse, it is not always necessary to remove the uterus. For instance, in cases of mild to moderate uterine prolapse, conservative treatment methods can be adopted, such as pelvic floor exercises. A common exercise is the anal contraction exercise, which involves contracting the anus for 3 seconds and then repeating this action for 15-30 times per set, with 2-3 sets a day depending on one’s physical condition. Most people will see significant improvement in symptoms of uterine prolapse after 6-8 weeks of exercise. For severe uterine prolapse, treatment should be tailored to the specific conditions of the woman. For example, elderly women in their seventies or eighties, who may not be in good physical condition and are not suitable for extensive surgery and who may not have significant sexual needs, may undergo vaginal closure surgery. On the other hand, women who place a high value on quality of life and do not wish to have their uterus removed can opt for a total pelvic reconstruction surgery.

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Written by Sun Shan Shan
Obstetrics and Gynecology
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How to check for uterine prolapse?

Uterine prolapse can be assessed through a vaginal examination to determine the degree of prolapse. Uterine prolapse can be divided into three grades: First-degree mild, where the external os of the cervix is less than 4 cm from the hymenal ring and has not yet reached the hymenal ring; first-degree severe, where the cervix has reached the hymenal ring, and the cervix can be seen at the vaginal opening, which constitutes the first degree. Second-degree mild occurs when the cervix prolapses out of the vaginal opening, but the uterus remains inside the vagina, while in severe cases, part of the uterus prolapses out of the vaginal opening. Third-degree prolapse involves both the cervix and the uterus protruding completely outside the vaginal opening. Once uterine prolapse occurs, it is necessary to seek timely medical treatment at a hospital.

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Written by Shen Li Wen
Obstetrics and Gynecology
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Does uterine prolapse affect menstruation?

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 Shen Li Wen
Obstetrics and Gynecology
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How to exercise for uterine prolapse

When women suffer from mild to moderate uterine prolapse, they can improve their condition through certain exercises. This method of exercise is called Kegel exercises. The specific way to do it is to contract the anus for 3 seconds, then relax, and repeat this action 25 to 30 times as one set. Depending on one's physical condition, 2 to 3 sets can be done each day. The principle of this exercise is to progress from simple to complex, and from doing Kegel exercises without any additional weight to doing them with added weight. How should this be understood? Some women perform Kegel exercises while standing, and due to the influence of gravity, there is certain pressure inside the abdominal cavity, making it difficult for them to grasp how to perform the exercise properly. In such cases, it can be helpful to lie down and perform Kegel exercises, as the pelvic floor muscles can then function well without any weight. Afterwards, they can progress to sitting, standing, and even walking while doing these exercises.