How to determine uterine prolapse?

Uterine prolapse is a manifestation of uterine abnormality, which often occurs in women who have given birth, mainly due to uterine prolapse caused by childbirth. As a woman, it is necessary to understand how to determine uterine prolapse, which will help detect the disease in time. So how do you determine uterine prolapse? Please see the detailed introduction below.

The uterus descends along the vagina from its normal position, with the external cervical opening below the level of the ischial spine, or even the entire uterus protrudes out of the vaginal opening. This is called uterine prolapse. Uterine prolapse is often accompanied by bulging of the anterior and posterior walls of the vagina.

How to determine uterine prolapse?

Instruct the patient not to urinate and assume the lithotomy position. During the examination, the patient is first asked to cough or exhale to increase abdominal pressure, and observe whether urine overflows from the urethra to determine whether there is stress urinary incontinence. The bladder is then emptied and a gynecological examination is performed.

First, pay attention to vaginal wall prolapse and uterine prolapse without exerting force. And pay attention to the condition of the vulva and the degree of perineal laceration.

Use a vaginal speculum to observe whether the vaginal wall and cervix are ulcerated, and whether there is rectouterine hernia. During internal examination, attention should be paid to the condition of the anal levator muscles on both sides, the width of the anal levator muscle fissure, the position of the cervix, and severe uterine prolapse. The uterus should be returned for examination to determine the size of the uterus, its position in the pelvic cavity, and whether there is inflammation or tumor in the appendages. Finally, the patient is advised to apply abdominal pressure and, if necessary, squat to make the uterus prolapse and then perform palpation to determine the extent of uterine prolapse.

Patients with uterine prolapse feel that their abdomen is falling, and their back is sore, which is more obvious when they walk and squat. In severe cases, the prolapsed mass cannot be put back, affecting their movements. Due to long-term exposure to the outside, the cervix may develop thickening and keratinization of the mucosal surface or erosion and ulceration. Patients experience increased leucorrhea, which is sometimes pus-like or bloody. Some also experience menstrual disorders and excessive menstrual bleeding.

Uterine prolapse is the downward displacement of the uterus along the vagina. It can be divided into 3 degrees according to the degree of prolapse:

1. Grade I

It means that the level of the external cervical os is lower than the level of the ischial spine, but the cervix and uterine body are still located in the vagina. This degree of uterine prolapse does not require treatment and can be recovered by resting.

2. II degree

It means that the cervix has protruded out of the vaginal opening, but the uterus or part of the uterus is still in the vagina. However, because the range involved is too large, in mild cases only the cervix may protrude from the vaginal opening, while in severe cases the cervix may be elongated, causing the entire elongated cervix and vaginal wall to protrude from the vaginal opening.

Grade II uterine prolapse is divided into mild and severe types: ① Grade II mild: The cervix and part of the anterior vaginal wall prolapse out of the vaginal opening. ② Severe Grade II: The cervix, part of the uterine body, and most or all of the anterior vaginal wall protrude from the vaginal opening.

3. Grade III

It means that the entire uterine body, cervix, the entire anterior vaginal wall and part of the posterior vaginal wall are protruding out of the vaginal opening.

From the above introduction, we have learned how to judge uterine prolapse. If a female friend feels pain in her abdomen or a mass protrudes from the vagina, then it is very likely that she has uterine prolapse. Uterine prolapse is divided into three degrees according to the degree of prolapse. If the uterus prolapses to one degree, just pay attention to rest. If the uterus prolapses to degree two or above, treatment is required.