Causes and treatments of uterine prolapse during menstruation

As girls grow older, menstruation is a problem that will soon come. Girls may not know how to deal with some symptoms when they first start menstruation, or girls may suddenly experience some symptoms, which catches them off guard. This is a normal phenomenon, but there are also some hidden dangers during menstruation that must be paid attention to. Below I will introduce to you the causes and treatments of uterine prolapse during menstruation, and I hope it will be of some help to female friends.

Symptoms and signs

1. Pain in the lumbar and sacral region, especially in the sacral region, which 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.

2. Vaginal prolapsed mass The patient reported that a spherical object prolapsed from the vagina, which was more obvious when walking or doing physical labor, and returned to the original position on its own after bed rest. 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 force, 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. Menstrual changes and excessive leucorrhea Due to pelvic organ prolapse, blood circulation disorders and local congestion affect normal menstruation and may cause excessive menstruation. In addition, due to blood circulation disorders, prolapse of organs may cause ulcers and infections, resulting in increased leucorrhea and bloody secretions.

5. Generally, it does not affect conception, pregnancy and delivery. However, if the uterus prolapses and cannot be reduced, cervical edema may occur after delivery, and the cervix may be difficult to dilate, leading to dystocia.

6. Physical signs: The uterus moves downward from the cervix being located in the vagina less than 14 cm from the hymen to the uterine body being completely protruding from 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 vaginal bladder transverse groove folds disappear, the lower edge of the bladder may be longer than the external opening of the cervix, and severe uterine prolapse may cause the bladder and ureter to move downward, forming a positive "△" area with the urethral opening.

The best treatment for uterine prolapse is surgical treatment. After vaginal hysterectomy, the supporting tissues such as the base ligament are fixed well, and the pelvic floor muscles and vaginal wall are repaired, including suturing the anterior vaginal wall mucosa to prevent bladder prolapse and suturing the posterior vaginal wall mucosa to prevent rectal prolapse.

I have introduced the symptoms of uterine prolapse during menstruation, and I hope it will be helpful to you. If you have this symptom, please go to the hospital to see a doctor as soon as possible, otherwise it may be very serious. Female friends should also pay attention to their genital hygiene and daily hygiene. If you have this case, you must ask your parents or boyfriend or husband to lead you to actively treat it to ensure the health of female friends.