Uterine prolapse is a common gynecological disease, mainly referring to the descent of the uterus from its normal position along the vagina, the cervical opening reaching below the level of the ischial spine, and even the complete detachment of the uterus outside the vaginal opening. This phenomenon is usually related to various factors such as pelvic floor tissue degeneration, childbirth injury, ovarian dysfunction, congenital developmental abnormalities, and increased intra-abdominal pressure. Uterine prolapse is more common in menopausal women, elderly women, and multiparous women who give birth vaginally.

Clinical symptoms

The clinical symptoms of uterine prolapse mainly include soreness in the lumbar and sacral regions, a sense of heaviness, and the protrusion of lumps in the external genitalia. Severely ill patients may experience significant lumbar and sacral pain or a sense of heaviness due to uterine ligament traction and pelvic congestion. Symptoms may worsen after standing for too long or being exhausted, but may be relieved during bed rest. In addition, patients may also experience lumps of vaginal prolapse, which can be self absorbed after lying down, and in severe cases, cannot be absorbed, affecting daily life.

therapeutic method

The treatment methods for uterine prolapse mainly include non-surgical treatment and surgical treatment

Non surgical treatment:

Pelvic floor muscle exercise: suitable for patients with mild uterine prolapse, mainly strengthening the contraction force of pelvic floor muscles by exercising the levator ani muscle.

Uterine tray: a tool that supports the uterus, cervix, and pelvic floor tissues, can alleviate or eliminate symptoms, but should be used and cleaned correctly.

Drug therapy: Traditional Chinese medicine such as Bu Zhong Yi Qi Tang can play a certain auxiliary therapeutic role, but there is no specific therapeutic drug.

Surgical treatment:

Suitable for patients with severe uterine prolapse or ineffective conservative treatment. Surgical methods include repair of the anterior and posterior vaginal walls, shortening of the main ligament, and partial cervical resection. The specific selection needs to be comprehensively considered based on factors such as the patient's age, fertility requirements, and severity of the condition.

matters needing attention

During treatment, patients should avoid prolonged standing, weight-bearing, and movements that increase abdominal pressure.

Maintain smooth urination and defecation, and promptly treat chronic cough and other diseases that increase abdominal pressure.

Regular gynecological examinations are conducted to monitor changes in the condition and treatment effectiveness.

In summary, the treatment methods for uterine prolapse should be tailored to the specific situation of the patient, taking into account the advantages and disadvantages of non-surgical and surgical treatments, and developing personalized treatment plans.