What does the early stages of uterine prolapse look like?

The uterus is a very important part for women. It can be used to nurture a new life. If the uterus does not exist, such a sacred process will be lost. Therefore, female friends must know how to protect and adjust our uterus. However, it is still relatively unfamiliar to many people, and they don’t know how to protect themselves or how to detect problems. Today I will tell you about the early symptoms of uterine shedding and how to solve them.

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 three degrees according to the degree of prolapse: Grade I uterine prolapse does not require treatment and can be recovered by resting.

Grade II means that the cervix has protruded out of the vaginal opening, but the uterine body or part of the uterine body 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 Mild Grade II: The cervix and part of the anterior vaginal wall are turned 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 are protruded out of the vaginal opening. Grade III means that the entire uterine body and cervix, as well as the entire anterior vaginal wall and part of the posterior vaginal wall are protruded out of the vaginal opening.

Non-surgical treatment,

(1) Pessary: ​​An ancient treatment method suitable for varying degrees of uterine prolapse. The diameter of the pessary is larger than the transverse diameter of the urogenital hiatus, which can support the uterus and vaginal walls and keep them in the vagina without falling out. It is made of silicone rubber, plastic, etc. and has many shapes, the most commonly used ones are ring-shaped and trumpet-shaped (Figure 4), or spherical pessary (Figure 5). Choose a pessary of appropriate size. The first time you use a pessary, it should be placed under the guidance of a doctor. Use during the day, take out at night, wash and set aside. If the pessary is not removed for a long time, it may become incarcerated and even cause urinary fistula or fecal fistula. It is not suitable for patients with cervical and vaginal wall inflammation, genital tract ulcers, and severe prolapse that cannot be reduced. It should be discontinued during menstruation and pregnancy, and reviewed every 3 months after use.

(2) Pelvic floor muscle (levator ani muscle) exercise: suitable for those with mild uterine prolapse. Instruct the patient to perform anal contraction exercises to force the pelvic floor muscles to contract and relax, for 10 to 15 minutes each time, 2 to 3 times a day. This therapy can be performed in conjunction with taking the traditional Chinese medicine Bu Zhong Yi Qi Tang.

(3) Improve overall condition: Treat and eliminate chronic diseases that increase abdominal pressure, such as cough and constipation. Postmenopausal women should supplement estrogen in moderation and avoid excessive fatigue. Resting can improve and reduce the degree of uterine prolapse.

Surgical treatment is suitable for patients with prolapse of grade II or above, patients with symptomatic rectal cystocele, and patients who do not respond to conservative treatment. The principles of surgery are to restore the normal anatomical position of the uterus or remove the uterus, repair excess mucosa of the vaginal wall, and suture and repair the pelvic floor muscles. The following commonly used surgical methods are selected according to the patient's age, fertility requirements and overall health status.

(1) Surgery to strengthen pelvic fascia support: Suitable for patients with grade I or grade II prolapse accompanied by bulging of the anterior and posterior vaginal walls and those with elongated cervix.

Common surgeries include:

① Anterior and posterior vaginal wall repair.

② Repair of the anterior and posterior vaginal walls + partial cervical resection and shortening of the main ligament.

③Ligament suspension surgery. Laparoscopic shortening of the round ligament and sacroiliac ligament is suitable for patients with congenital simple mild uterine prolapse.

(2) Vaginal hysterectomy and anterior and posterior vaginal wall repair: Suitable for patients with grade II and III prolapse who do not desire to have children.

(3) Vaginal closure: also known as Le-Fort surgery. It is suitable for patients without cervical malignancy and who are elderly and cannot tolerate major surgery. The vagina is partially closed after surgery and the patient loses the ability to have sexual intercourse.

Drink more water, eat more fruits and vegetables

Patients should drink more water and eat more beneficial foods such as nuts, seeds, and grains. Eat more foods that have the effects of replenishing qi and nourishing the kidneys, such as chicken, yam, lentils, lotus seeds, water chestnuts, loaches, mussels, leeks, and dates. In daily diet, eat more blood and kidney nourishing foods, mainly those with neutral and warm properties, such as beef, mutton, pork, etc. All kinds of meat should be chopped and mashed before eating to facilitate the absorption of nutrients. Eat more vegetables with neutral and warm properties, and the best ratio of meat to vegetables is 1:1. People with uterine prolapse should pay more attention to eating seaweed foods, including hair algae, nori, kelp, sea cabbage, wakame, etc. Seaweed contains the most minerals, such as calcium, iron, sodium, magnesium, phosphorus, and iodine.

Modern science believes that eating seaweed foods regularly can effectively regulate the acidity and alkalinity of the blood and avoid excessive consumption of alkaline elements in the body due to acid neutralization. Therefore, people with uterine prolapse should eat more seaweed foods. Avoid spicy foods and drinks such as chili peppers, peppercorns, raw onions, raw garlic, and white wine. Avoid eating foods that are hot, coagulant, or contain hormones, such as longan, red dates, donkey-hide gelatin, and royal jelly. Avoid eating cold foods, regardless of the temperature or nature of the food.

The seriousness of uterine shedding is believed to be self-evident. If you are still in the early stages of uterine shedding, then you must seize the opportunity and regulate this symptom well. Don't be lucky and think that it is not very serious and you can not take it too seriously. Here I want to tell you that no matter what minor illness it is, you must be vigilant when it is in its infancy and cooperate to cure it, otherwise you will regret it when it becomes serious.