How to detect uterine prolapse

Women may experience uterine prolapse when giving birth. Uterine prolapse can cause women to experience back pain, menstrual disorders, difficulty urinating, urinary incontinence, etc. Uterine prolapse requires prompt treatment. First of all, let us understand how to check our own uterine prolapse? The first test for uterine prolapse is a feeling of weightlessness in the lower body. Check whether your pelvis feels weak or your lower abdomen feels heavy. More serious patients may feel a bulge in their lower body. It feels similar to the premenstrual period.

Note: Patients with uterine prolapse outside the body need to keep their private parts clean. Reduce the probability of viral and bacterial infection.

Uterine prolapse test 2: pain

See if you have pain in your lower abdomen, lower back, etc. Sexual intercourse feels painful, etc. As the tightness of the prolapsed uterus decreases, the uterus falls outside the body, and the friction and fall cause pain in the lower abdomen of women. Severely ill patients may have difficulty moving. Conditions of anxiety, etc.

Note: When the pain worsens, you should go to the hospital for a thorough examination and treatment, and you cannot take painkillers on your own.

Uterine prolapse test three: difficulty urinating

Because there is the bladder in front of the uterus and the duodenum behind it, once the uterus relaxes, it may cause obstruction to urination or defecation. Such as urinary retention and urinary incontinence.

Note: Patients with dysuria need to change their underwear and clean frequently. More serious patients can choose to use sanitary napkins.

Uterine prolapse check 4: Traffic trouble

More serious patients have difficulty walking due to uterine prolapse. In addition, if the uterus prolapses outside the body, it will cause trouble when going out and it is very easy for women to feel inferior.

Note: Patients with uterine prolapse are advised not to go out and to lie down and rest as much as possible.

Uterine prolapse examination five: urethral opening

Take the bladder nephroscopic position, do not urinate, ask the patient to cough, and observe whether there is urine overflow. If so, the operator places the index and middle thumbs on both sides of the urethral opening, press slightly forward, and then ask the patient to cough. If the urine outflow can be controlled, it indicates support urinary incontinence. Then ask the patient to urinate voluntarily. After disinfection and sterilization, insert a urinary catheter to check whether there is urine retention and the amount of urine retained.

Note: During the urethral examination, women should not have too much pressure, restlessness or shyness. If you are worried, you can ask a good friend or relative to wait for you.

Uterine prolapse examination six: vaginal and anal digital examination

If the cervix is ​​not exposed, perform an intravaginal digital examination and accurately measure the distance between the cervix and the vulva in cm. When examining the vagina, you should also pay attention to the approximate width of the distance between the anal contraction muscles on both sides. Level of perineal injury. Rectal examination checks the level of duodenal protrusion and the tension of the external anal sphincter. Use a vaginal speculum to observe whether the vaginal wall and cervix are ulcerated, and whether there is uterine and duodenal hernia. During vaginal examination of women, 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 then the size of the uterus, the position in the pelvis and whether there is inflammation or tumor in the appendages.

Wound care after childbirth, symptoms of uterine prolapse

The patient's abdomen will actively fall down, which is more obvious when the waist is sore, walking or squatting. In cases of mild prolapse, the vaginal prolapsed material can be reduced automatically after lying down and resting. In more serious cases, the prolapsed material cannot be reduced, affecting movement.

Long-term exposure to the outside may cause the cervix to become thickened, keratinized, or to develop erosion and ulcers. The patient has a lot of leucorrhea, which is sometimes thick or bloody. Some have menstrual disorders and menorrhagia.

When accompanied by cystocele, difficulty urinating, urinary retention, work-related stress urinary incontinence, etc. may occur.

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

1. Grade I means that the level of the external cervical os is lower than that of the ischial spine, the edge of the hymen is not reached, and the cervix and uterine body are still located in the female vagina. This level of uterine prolapse does not require treatment and can be restored by resting.

2. Grade II means that the cervix has slipped out of the vulva, but the uterine body or part of the uterine body is still in the female vagina. However, because the scope involved is too large, in mild cases only the cervix may slip out of the vulva, and in severe cases the cervix may expand, and even the entire expanded cervix and vaginal wall may slip out of the vulva. Grade II uterine prolapse is divided into two types: mild and severe: Grade II in mild form, the cervix slips out of the vulva, and the uterine body is still in the female vagina. In case of grade II hemorrhage, the cervix, part of the uterine body and most or all of the anterior vaginal wall slip out of the vulva.

3. Grade III refers to the entire uterine body and cervix slipping out of the vulva.