What are the symptoms of postpartum uterine prolapse?

Women are prone to symptoms of uterine prolapse after giving birth, which is quite harmful to women's health and often manifests as increased vaginal discharge. It can easily cause changes in menstruation. When doing physical labor, vaginal prolapse and swelling will appear. It can also cause some symptoms of the urinary tract system. When exercising vigorously, it can easily cause urinary incontinence and difficulty urinating.

1. Menstrual changes and excessive vaginal discharge

Due to pelvic organ prolapse, blood circulation disorders and local congestion may occur, 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.

2. Vaginal prolapse

The patient reported that a spherical object had prolapsed from the vagina, which was more obvious when she was walking or doing physical labor, and returned on its own after she rested 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.

3. Urinary tract symptoms

For most patients with uterine prolapse, when they laugh, cough violently, or exert themselves, 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. 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.

5. Lumbar pain

This is especially true in the sacral area, which is more obvious after labor and can be relieved by bed rest. In addition, patients feel a sense of heaviness in the lower abdomen, vagina, and perineum, which is aggravated by fatigue.