What are the examination methods and symptoms of uterine prolapse?

Uterine prolapse is a disease that postpartum women are very likely to suffer from. If the patient lifts heavy objects after delivery, or does not pay attention to rest, the uterus will be affected by gravity and will slip out of the uterus, causing great harm to the patient. The patient should pay attention to rest after delivery, which can prevent the occurrence of uterine prolapse. When the patient finds abnormal symptoms of the disease, he or she should go to the hospital for examination and understand the symptoms of uterine prolapse during the examination. So what are the examination methods and symptoms of uterine prolapse?

How to check for uterine prolapse:

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 rupture.

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 then 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.

Symptoms of uterine prolapse:

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

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 Mild Grade II - the cervix and part of the anterior vaginal wall are turned out of the vaginal opening. ② Severe Grade II: The cervix, part of the uterine body, and most or all of the anterior vaginal wall are protruded out of 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 turned out of the vaginal opening.

The method of examining uterine prolapse is not complicated. As long as the symptoms of the disease are found, the severity of the disease can be preliminarily judged. Of course, the disease cannot be diagnosed based on the symptoms. The patient needs to go to the hospital for formal examination to confirm the disease. Patients must also do a good job of treating the disease in their daily lives. The treatment is mainly based on the treatment plan formulated according to the condition, including pessary treatment, self-treatment exercises, etc.