Does cesarean delivery easily cause uterine prolapse?

Written by Du Rui Xia

Obstetrics

Updated on January 15, 2025

00:00

00:00

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.

Other Voices

home-news-image

Written by Du Rui Xia

Obstetrics

54sec

home-news-image

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.

home-news-image

Written by Shen Li Wen

Obstetrics and Gynecology

1min 9sec

home-news-image

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.

home-news-image

Written by Shen Li Wen

Obstetrics and Gynecology

43sec

home-news-image

What are the clinical manifestations of uterine prolapse?

When women experience uterine prolapse, the clinical symptoms vary depending on the severity of the condition. For instance, mild uterine prolapse often does not cause any discomfort. Severe uterine prolapse, however, may be due to the pulling of the uterus, leading to a reflex tension in the surrounding ligaments and causing congestion in the pelvic area. Women may feel pain in their sacral or lower abdominal area, which intensifies with excessive fatigue or prolonged standing. Some women may also experience stress urinary incontinence or changes in bowel behavior, such as constipation.

home-news-image

Written by Yan Qiao

Obstetrics and Gynecology

56sec

home-news-image

What should I do if I have uterine prolapse during menstruation?

The normal position of the uterus is within the female pelvis. When a prolapse occurs, the uterus gradually descends downwards. In cases of mild to moderate uterine prolapse, since the majority of the uterus remains inside the vagina, there is no particular need for special attention during menstruation—regular care will suffice. In severe cases of uterine prolapse, the uterus might completely protrude outside the vaginal opening. In such circumstances, extra care may be needed during menstruation to prevent menstrual blood from staining undergarments. You might need to use larger sanitary pads; other than that, there is nothing particularly different that needs attention. Additionally, remember to change sanitary pads and underwear regularly to avoid potential infections.

home-news-image

Written by Li Lin

Obstetrics and Gynecology

57sec

home-news-image

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.