How to treat cervical prolapse?

Cervical prolapse is a common gynecological disease. If it is not treated in time, the prolapse will become more and more serious. Cervical prolapse is actually not scary. Early cervical prolapse can be treated with pessary therapy. With long-term correction and drug treatment, it can be cured quickly.

General treatment of uterine prolapse

1. Western medicine treatment of uterine prolapse

Nonsurgical treatment

1. Pessary therapy

(1) Patients who are not suitable for surgical treatment due to systemic conditions or serious heart, liver, kidney and other diseases.

(2) Those who refuse surgical treatment or are unable to undergo surgical treatment due to environmental or economic reasons.

(3) For patients with mild uterine prolapse and severe symptoms such as low back pain, if conservative treatment with a pessary is used first and their symptoms are relieved, they may be considered for surgical treatment.

(1) If there is obvious inflammation or ulceration in the vagina or cervix, the device must be placed after it has healed.

(2) The vaginal opening is wide, the vagina is short and shallow, and the surrounding fornix becomes shallow or disappears, which cannot support the uterus above the genital hiatus.

(3) Those with obvious pelvic inflammation or tumors.

(4) Third-degree perineal laceration, or urinary fistula or fecal fistula.

(5) It is not advisable to use a pessary during menstruation, pregnancy, or the postpartum period.

There are four types of pessaries commonly used in China and developed in recent years: ① morning glory type pessary; ② ring type pessary; ③ ball type pessary; ④ ball belly - mushroom head pessary.

According to the different types of pessaries, they can be divided into three types: large, medium and small. After the pessary is placed, the prolapsed uterus and vaginal wall can be retracted into the vagina. If the patient feels comfortable immediately and the uterus does not prolapse, it is suitable. The patient needs to be taught how to put it in and take it out.

Instruct the patient to take it out and wash it every night, and put it back in the morning. Generally, the patient lies flat on her back with her legs bent and spread apart. The back edge of the pessary is tilted and pushed along the back wall of the vagina to the top of the vagina. The front edge of the pessary is pushed to the back of the pubic symphysis. The patient is then asked to exhale to lower the uterus. Check whether the position of the pessary is correct. When removing the pessary, it should be removed gently in a sideways direction.