What are the symptoms of cervical prolapse?

Many women often feel back pain, especially in the lumbar region, which may be related to certain gynecological diseases. If you feel a drop in the lower abdomen while having back pain, and feel that something is coming out of the vagina when walking, this may be due to cervical prolapse, which should be taken seriously. Below, the editor will introduce some specific manifestations of cervical prolapse in women.

1. Clinical manifestations

1. Pain in the lumbar and sacral regions, especially in the sacral region, which is more obvious after labor and can be relieved by resting in bed. In addition, patients feel a sense of heaviness in the lower abdomen, vagina, and perineum, which is aggravated by fatigue.

2. Vaginal prolapse and swelling. The patient reported that a spherical object prolapsed from the vagina, which was more obvious when walking or doing physical labor, and returned to the original position on its own after bed rest. In severe cases of prolapse, the prolapse remains outside all day and cannot be fixed by itself. When walking, the prolapse causes friction with clothes, causing discomfort. Long-term friction may lead to ulcers, infection, increased secretions, and even bleeding. Over time, the local tissue may become thickened and keratinized.

3. Urinary tract symptoms: For most patients with uterine prolapse, when they laugh, cough violently, or exert force, the abdominal pressure suddenly increases, causing urinary incontinence and urine overflow. Uterine prolapse is often accompanied by varying degrees of cystocele, but whether stress urinary incontinence occurs depends on whether the anatomical relationship between the bladder and urethra is changed. A small number of patients with uterine prolapse have difficulty urinating, which leads to urinary retention. They need to push the bulging bladder forward with their fingers before they can urinate. The cause is severe cystocele, where the enlarged bladder is located below the urethra.

4. Menstrual changes and excessive leucorrhea are caused by pelvic organ prolapse, which leads to blood circulation disorders and local congestion, affecting normal menstruation and causing excessive menstruation. In addition, due to blood circulation disorders, prolapse of organs may cause ulcers and infections, resulting in increased leucorrhea and bloody secretions.

5. Generally, it does not affect conception, pregnancy and delivery. However, if the uterus prolapses and cannot be reduced, cervical edema may occur after delivery, and the cervix may be difficult to dilate, leading to dystocia.

6. Physical signs. The uterus moves downward from the cervix being located in the vagina <14 cm from the hymen to the uterine body being completely protruding out of the vaginal opening. Unreducible uterine prolapse is often accompanied by rectocele, thickening and keratinization of the vaginal mucosa, hypertrophy and elongation of the cervix, and the distance between the vesicouterine fossa and the anterior vaginal fornix is ​​>2 cm and can be as long as 4 to 5 cm. When severe uterine prolapse is accompanied by bladder prolapse, the transverse groove folds of the vaginal vesica disappear, and the lower limit of the bladder may be longer than the external opening of the cervix. In severe uterine prolapse, the bladder and ureter move downward, forming a positive "△" area with the urethral opening.

Therefore, when female friends feel the above symptoms such as lumbar pain, it is best to go to the hospital for examination in time. Minimize activity to avoid making the condition worse. Try not to use too much force in normal times, and reduce the pressure on the cervix as much as possible. If you feel any discomfort, see a doctor in time.