What are the symptoms of uterine prolapse?

The uterus is a unique reproductive organ in the female body. However, many women are particularly concerned about the health of the uterus. Once some gynecological diseases occur in the body, they will always be particularly nervous and worried. Among them, uterine prolapse is a relatively common gynecological disease. Once such a disease develops seriously, it is easy to cause the uterus to prolapse out of the body and even affect women's fertility. If we can grasp some of its symptoms, we can get better control and cure effects in the early stages of the disease. Let's take a look at the symptoms of uterine prolapse.

What are the symptoms of uterine prolapse?

The patient feels that his abdomen is falling, and the pain is more obvious when he walks and squats. In severe cases, the dislocated mass cannot be put back, affecting his movement. 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. Ⅰ degree

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 type: 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.

examine

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.

The above is an introduction to the symptoms of uterine prolapse. After understanding it, we know that uterine prolapse usually causes pain in the abdomen as if it is falling, and there will be phenomena such as irregular menstruation and dysmenorrhea. Therefore, female friends should observe their physical condition more often. For example, if they have irregular menstruation or abnormal leucorrhea, they should go to the hospital for examination in time, so that the disease can be discovered in time and then treated and adjusted.