What tests should women do when they have uterine prolapse?

Uterine prolapse in women is a relatively common gynecological disease. This disease seriously affects the health of women's uterus and can also cause female infertility. Therefore, if women have uterine prolapse, in order to protect their own health, they want to know what examinations they should do if they have uterine prolapse. The following is a detailed introduction so that you can fully understand how to check.

examine

Instruct the patient not to urinate and assume the lithotomy position. During the examination, the patient is first asked to cough or exhale to increase abdominal pressure, and observe whether urine overflows from the urethra to determine whether there is stress urinary incontinence. The bladder is then emptied and a gynecological examination is performed.

First, pay attention to vaginal wall prolapse and uterine prolapse without exerting force. And pay attention to the condition of the vulva and the degree of perineal laceration.

Use a vaginal speculum to observe whether the vaginal wall and cervix are ulcerated, and whether there is rectouterine hernia. During internal examination, attention should be paid to the condition of the anal levator muscles on both sides, the width of the anal levator muscle fissure, the position of the cervix, and severe uterine prolapse. The uterus should be returned for examination to determine the size of the uterus, its position in the pelvic cavity, and whether there is inflammation or tumor in the appendages.

Finally, the patient is advised to apply abdominal pressure and, if necessary, squat to make the uterus prolapse and then perform palpation to determine the extent of uterine prolapse.

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.

Pessary treatment

(1) Indications for pessary: ​​Pessary has long been used to treat uterine prolapse. It can be controlled by the patients themselves, but it is not suitable for patients with severe uterine prolapse and excessive vaginal relaxation.

(2) The size of the pessary should be slightly larger than the genital (pubococcygeus muscle) fissure. The horizontal diameter of the fissure is usually 4 cm at most, 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.

If a woman has uterine prolapse, it is wise to get checked as soon as possible. Only by getting a confirmed diagnosis as soon as possible can she receive the correct treatment and recover as soon as possible. Therefore, when uterine prolapse occurs, every woman must get checked as soon as possible in order not to endanger her health.