Diagnosis of uterine prolapse

Many women find that they have uterine prolapse, but many women think it is a minor problem and do not pay enough attention to it. In the end, the problem becomes more and more serious as time goes by, causing great harm to the body. Many women currently do not know how to diagnose uterine prolapse, which is also the main reason why they miss the best time for treatment. Let's first learn about the specific diagnosis method!

Clinical manifestations

The patient feels that his abdomen is falling, and the pain is more obvious when he walks and squats. In severe cases, the dislocated mass cannot be put back, affecting his movement. Due to long-term exposure to the outside, the cervix may develop thickening and keratinization of the mucosal surface or erosion and ulceration. Patients experience increased leucorrhea, which is sometimes pus-like or bloody. Some also experience menstrual disorders and excessive menstrual bleeding.

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

1. Ⅰ degree

It means that the level of the external cervical os is lower than the level of the ischial spine, but the cervix and uterine body are still located in the vagina. This degree of uterine prolapse does not require treatment and can be recovered by resting.

2. II degree

It means that the cervix has protruded out of the vaginal opening, but the uterus or part of the uterus is still in the vagina. However, because the range involved is too large, in mild cases only the cervix may protrude from the vaginal opening, while in severe cases the cervix may be elongated, causing the entire elongated cervix and vaginal wall to protrude from the vaginal opening.

Grade II uterine prolapse is divided into mild and severe types: ① Grade II mild type: the cervix and part of the anterior vaginal wall prolapse out of the vaginal opening. ② Grade II severe cervix, part of the uterine body, and most or all of the anterior vaginal wall protrude from the vaginal opening.

3. Grade III

It means that the entire uterine body, cervix, the entire anterior vaginal wall and part of the posterior vaginal wall are protruding out of the vaginal opening.

Diagnostic methods:

1. Submucosal fibroids: The cervical opening cannot be found on the prolapsed material, the anterior and posterior vaginal walls are not prolapsed, and the cervix can be touched by inserting the hand into the vagina.

2. Elongated cervix: mostly occurs in nulliparous women. The anterior and posterior vaginal walls are not prolapsed, the anterior and posterior vaults are very high, the uterine body is still within the pelvic cavity, only the cervix is ​​extremely elongated like a column, protruding out of the vaginal opening.

3. Chronic uterine inversion: The cervix cannot be found on the mass, but the depressions at the entrances of the fallopian tubes on both sides can be found. The surface is red mucosa, which is easy to bleed. The triple examination shows that the uterine cavity is empty and the uterine body cannot be touched.

4. Vaginal wall cysts or myomas: They can often be misdiagnosed as cystocele or uterine prolapse. Upon examination, the uterus is still in its normal position or is pushed upward by the mass, and the mass has nothing to do with the cervix.

The main methods for diagnosing uterine prolapse are introduced in the above article. I hope that women can use the above methods for diagnosis when they find that their uterus is abnormal. Once uterine prolapse is diagnosed, go to the hospital for treatment immediately. This is the early stage of the disease and it is relatively easy to treat. The treatment hospital must be a regular one.