Does cesarean delivery easily cause uterine prolapse?

Written by Du Rui Xia
Obstetrics
Updated on January 15, 2025
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After a cesarean section, there is also a certain chance of uterine prolapse occurring. The occurrence of uterine prolapse is mainly related to the number of childbirths, the size of the fetus during childbirth, and factors such as whether there were difficulties during delivery or the use of vaginal delivery assistance. Cesarean section can to some extent reduce the incidence of uterine prolapse. Cesarean delivery can improve or avoid conditions such as uterine prolapse and bladder protrusion, and other pelvic organ prolapse diseases. However, this practice is not advocated and should only be performed in necessary cases. Natural childbirth is still recommended as the best method. If pelvic floor dysfunction occurs, repair can be conducted after childbirth.

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Written by Li Shun Hua
Obstetrics and Gynecology
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Symptoms of uterine prolapse

The main symptom of uterine prolapse is the protrusion of a mass from the vaginal opening. Uterine prolapse can be divided into three degrees. In the first degree of uterine prolapse, only the cervix is visible at the vaginal opening. At this stage, symptoms are not very pronounced and may include rapid urination or urinary incontinence. In the second degree, the cervix and part of the uterine body protrude from the vaginal opening. This can lead to difficulty walking or abrasion, and bleeding from the vaginal opening may occur. If the entire uterus prolapses, it can lead to an inability to urinate or difficulty defecating. Patients may experience pain in the lower abdomen or difficulties and abrasion while walking, and severe cases can lead to bleeding from the cervix or significant discharge, potentially resulting in infection.

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Written by Du Rui Xia
Obstetrics
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Does cesarean delivery easily cause uterine prolapse?

After a cesarean section, there is also a certain chance of uterine prolapse occurring. The occurrence of uterine prolapse is mainly related to the number of childbirths, the size of the fetus during childbirth, and factors such as whether there were difficulties during delivery or the use of vaginal delivery assistance. Cesarean section can to some extent reduce the incidence of uterine prolapse. Cesarean delivery can improve or avoid conditions such as uterine prolapse and bladder protrusion, and other pelvic organ prolapse diseases. However, this practice is not advocated and should only be performed in necessary cases. Natural childbirth is still recommended as the best method. If pelvic floor dysfunction occurs, repair can be conducted after childbirth.

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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 Liu Jian Wei
Obstetrics and Gynecology
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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 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.