How to detect cervical prolapse yourself

Nowadays, medicine is becoming more and more advanced, and many diseases can be detected and treated accordingly. Some diseases can also be detected by ourselves without going to the hospital. Cervical prolapse is a common gynecological disease among women. Due to the increasing pressure of life and work, more and more women are troubled by this disease. What methods can we use to check whether we have this disease?

How to detect cervical prolapse yourself:

1. Urine overflow: 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.

2. 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.

3. Vaginal prolapse: A spherical object prolapses from the vagina, which is more obvious when walking or doing physical labor, and will return to its original position on its own after resting in bed. 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.

4. Pain in the lumbar and sacral region, especially in the sacral region, 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.

5. Urethral prolapse: The damage caused by childbirth can cause the vaginal wall to weaken and sag, causing the paravaginal fascia under the urethra to bulge into the vagina and bulge out toward the vaginal opening along with the urethra. This is called urethral prolapse. Some patients do not feel anything abnormal, while others feel something is coming out of the vagina. More serious cases may experience vaginal pain and even difficulty in sexual intercourse.

The above five methods are ways for patients to judge uterine prolapse by themselves. Without going to the hospital, patients can use these methods to judge whether they have uterine prolapse. Of course, the specific diagnosis results still need to be checked in the hospital.

How to identify uterine prolapse? :

Uterine prolapse should be differentiated from the following diseases.

1. For patients with vaginal wall tumors or cystocele who have vaginal tumors prolapse, bimanual examination shows that the vaginal wall tumor (cystic or solid) is within the vaginal wall, has clear boundaries, and is mobile or fixed. The cervix cannot be seen during visual examination of cystocele. The cervix can be seen by lifting the forearm of the vagina upwards by pulling the vaginal canal. The cervix and uterine body can be felt during digital examination.

2. Cervical elongation refers to simple cervical elongation without uterine prolapse, which may sometimes be accompanied by mild prolapse of the anterior and posterior vaginal walls. Simple cervical elongation can be differentiated from uterine prolapse by palpation. Bimanual examination shows that the vaginal part of the cervix is ​​extended and the uterine body is in the pelvic cavity and does not move downward when the breath is held. Many patients with uterine prolapse also have an elongated cervix.

3. Patients with submucosal uterine fibroids have a history of menorrhagia. When a smaller fibroid is exposed with a speculum, a red, hard and tough protruding mass can be seen at the outer os of the cervix. For larger submucosal myomas that prolapse to the external os of the cervix, visual examination shows no cervix on the mass, but bimanual examination shows the presence of cervix around the mass.

4. Uterine inversion is a chronic uterine inversion, which is extremely rare. The uterus is seen in the vagina, covered with dark red flannel-like endometrium, which is easy to bleed. There is no cervix on it, and the fallopian tube openings are visible on both sides. Bimanual or triple examination shows no uterine body in the pelvic cavity. If necessary, abdominal B-ultrasound examination can be performed.

5. Patients with vaginal vault bulge often have a history of multiple births or pelvic surgery such as hysterectomy, and posterior vault hernia is often accompanied by uterine prolapse. The patient complained of prolapse of a soft mass in the vulva, often accompanied by constipation. Visual examination revealed a marked bulging of the vaginal wall, with no visible cervix. If the hernia sac is large, the intestinal peristalsis inside can be seen. Bimanual examination shows that the vault hernia can be returned to the pelvic cavity (there is no such feeling when the anterior and posterior walls of the vagina are bulging), and bimanual examination shows that there is no uterus in the pelvic cavity. The patient is in an upright position and the small intestine in the hernia sac can be palpated by using the thumb (located in the vagina) and index finger (located in the rectum) to examine the patient. Uterine prolapse and vaginal vault bulge are generally easy to distinguish.