Gynecological treatment of uterine prolapse

Many women will experience uterine prolapse after giving birth. Uterine prolapse is a very serious problem for female friends because the uterus is a very important organ in the female body. In order to change this situation, we must understand the treatment methods for uterine prolapse. However, everyone's physical condition is different, so targeted treatment is more effective.

Gynecological treatment of uterine prolapse

Generally speaking, the normal position of the uterus of an adult woman is halfway in the center of the pelvis when standing, above the level of the ischial spine, adjacent to the bladder in front and the rectum behind, with the uterus tilted forward. The cervix forms an angle of 120-150° with the uterine body and is in an anteriorly bent and anteflexed position. However, the uterus may be displaced due to reasons such as relaxation of a group of ligaments that maintain the normal position of the uterus, long-term bed rest after delivery (especially supine position), pelvic inflammation, uterine body tumors, congenital maldevelopment, etc. The most common of these is retroverted uterus. Depending on the degree of retroversion of the uterus, the retroverted uterus is divided into grades I, II, and III.

Mild retroverted uterus (grades I-II) generally does not cause symptoms and does not require treatment. Severe retroverted uterus often causes symptoms, mainly lower back pain. In mild cases, there is only soreness and discomfort in the lower back. In severe cases, the entire waist, sacrum and coccyx, and iliac regions on both sides feel sore and uncomfortable. In some patients, the soreness and swelling extend to the lower back and groin on both sides. Lower abdominal soreness and anal distension often coexist, and symptoms are often aggravated by fatigue and menstruation. If not corrected in time, it may also lead to dysmenorrhea, irregular menstruation, increased leucorrhea, sexual discomfort, miscarriage, infertility, etc. For patients with retroverted uterus, if the retroverted uterus has not corrected itself three months after conception, the displacement of the bladder neck and urethra and the upturned cervix may compress the posterior urethra and cause acute urinary retention.

For patients with symptomatic retroverted uterus, the key to treatment is to reposition the uterus. Commonly used methods of uterine reduction include bimanual reduction method, triple-manual reduction method, cervical clamp traction reduction method, chest-knee supine position reduction method, and surgical reduction method. After manual reduction, the patient is required to do chest-knee position exercises 1-2 times a day after emptying the bowels and bladder, each time for 10-15 minutes. This is crucial to consolidate the effect of uterine reduction. Chest-knee position exercises can also prevent the occurrence of posterior displacement of the uterus after delivery, but they must be performed half a month after delivery. If manual reduction is unsuccessful, surgical reduction can be used. Surgical method

The main function is to shorten the round ligament and change the uterus into an anteverted and flexed position.

To sum up, regarding the treatment of female uterine prolapse, we can choose different treatment methods according to the female friend’s own situation. However, we must be clear that uterine prolapse is a very serious problem so we must pay attention to it and promptly detect and treat it. To avoid causing other gynecological diseases and causing certain harm to women's health, we must seek timely treatment.