What to do if your cervix is ​​prolapsed

If cervical prolapse occurs, it will cause great harm to women's bodies, and may even prevent them from giving birth normally in the future. Surgery must be used for treatment so that vaginal delivery can be performed normally. After the operation, appropriate care measures must be taken to ensure better postoperative recovery.

Because the operation will have a certain impact on the subsequent vaginal delivery, it is only suitable for severe cases and women who no longer want to have children.

1. Pessary treatment

(1) Pessaries and their functions Pessaries have been used to treat uterine prolapse for a long time. Patients can control it by themselves, but those with severe uterine prolapse and excessive vaginal relaxation should not use a support.

(2) The size of the pessary should be slightly larger than the genital (pubococcygeus muscle) fissure. Generally, the maximum horizontal diameter of the fissure is 4 cm, so a medium-sized pessary is often used. After a period of time, the pubococcygeus muscle gradually recovers its elasticity, the tissue edema disappears, the weight is reduced, and the uterus will no longer prolapse after the prolapsed part is restored.

(3) The best time to use it is to put it in the morning before work, take it out at night and wash it. It is best not to use during menstruation. The surface of the plastic tray is smooth, it is not easy to deteriorate when exposed to acids and alkalis, and it has little irritation to tissues. After wearing the support, the symptoms disappear and the patient can participate in various activities without pain.

2. Pelvic floor muscle exercises

Suitable for patients with mild symptoms. The method of exercising the levator ani muscles is: contract the anus forcefully, contract the pelvic floor muscles for more than 3 seconds and then relax, do it continuously for 10 to 15 minutes each time, 2 to 3 times a day, and the first exercise should be done before getting up.

3. Surgery

Based on the cause of uterine prolapse, the severity of the disease, whether there is prolapse of other surrounding organs, whether there is a desire to have children, and other conditions, the appropriate surgical method is selected to achieve the goal of restoring normal anatomy and its function. It includes shortening the loose cardinal ligament to improve the support of the uterus; correcting abnormal uterine morphology, such as if the cervix has been elongated and hypertrophied, part of the cervix must be removed to restore the normal length of the cervix; shortening the pubovesical cervical fascia to strengthen the support of the anterior vaginal wall; suturing the pubococcygeus muscle fissure to re-establish a well-functioning perineum.

4. Precautions for self-treatment

(1) Pay attention to bed rest. When sleeping, it is advisable to raise the hips or feet to a height of two bricks.

(2) Do not get out of bed and move around too early after delivery, especially do not engage in heavy physical labor too early.

(3) Avoid standing for long periods of time, squatting, holding your breath, and other actions that increase abdominal pressure.

(4) Maintain smooth bowel and urination.

(5) Timely treat diseases that increase abdominal pressure, such as chronic bronchitis and diarrhea.

(6) Breastfeeding should not exceed two years to avoid atrophy of the uterus and its supporting tissues.

(7) Engage in appropriate physical exercise to improve physical fitness.