What causes uterine prolapse?

The uterus is an important reproductive organ in the female body. If you don't pay special attention to the maintenance of the uterus in your life, it is easy to cause some gynecological diseases. Among them, uterine prolapse is a common phenomenon, which is very harmful to the female body. In severe cases, it may even cause the uterus to fall out of the body. We must understand the reasons in order to get better relief and prevention. Let's learn about what causes uterine prolapse.

What causes uterine prolapse?

1. Injuries caused by childbirth (such as giant babies, difficult labor, etc.).

2. The pressure in the abdominal cavity is too high (for example, excessive obesity, chronic cough, constipation, or tumor compression in the pelvic cavity will increase the abdominal cavity pressure).

3. Age and organ aging, coupled with a decrease in the female hormone estrogen, cause the pelvic floor muscles (PFM) to lose tension and the uterine ligaments to gradually degenerate and atrophy.

4. Various pelvic surgeries may also cause sequelae of uterine prolapse.

5. Even if you do not have the above experience, congenital weakness and relaxation of the pelvic muscles can also cause uterine prolapse.

Clinical manifestations

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.

The above is an introduction to what causes uterine prolapse. After understanding it, we must pay special attention to it in our daily lives, especially many women must pay special attention when choosing the method of delivery. For example, if the baby is too large, try to choose cesarean section. In addition, if uterine prolapse occurs, go to the hospital for treatment in time.