How to determine uterine prolapse

  Uterine prolapse refers to the fall of the uterus from its normal position, with the external cervical opening reaching below the level of the sciatic spine, or even the uterus prolapsing completely beyond the vaginal opening, often accompanied by bulging of the anterior and posterior vaginal walls. Uterine prolapse is common in women with multiple births, malnutrition and physical labor, and can be classified into three degrees: mild, moderate and severe. The diagnosis of uterine prolapse can be identified according to the clinical manifestations of the patient, while the diagnosis can be obtained according to the auxiliary examination.  I. Judgment method of uterine prolapse Uterine prolapse can be clinically recognized according to the clinical manifestations of the patient, while the diagnosis can be obtained according to the auxiliary examination. (1) Judgment according to clinical manifestations (1) pain or falling sensation in the lumbosacral area: the symptoms are aggravated after walking, weight-bearing and prolonged squatting, and can be alleviated after resting; (2) prolapse from the vagina: it prolapses when the abdominal pressure increases, and can retract automatically after resting in bed; (3) other symptoms: abnormal leucorrhea and menstruation, difficulty in urination, stress urinary incontinence, etc.  (1) gynecological examination: ask the patient to hold the breath downward, increase the abdominal pressure, if necessary, take a squatting position, if you see the uterine body or cervical position down to the vaginal opening, you can make a clear diagnosis; (2) vaginal endoscopy: you can observe whether the vaginal wall and cervical ulceration, whether there is a hernia in the rectal fossa of the uterus, etc.  Once the uterine prolapse is diagnosed, the following treatment methods can be adopted: 1. uterine support treatment: applicable to patients with mild prolapse, patients can master it by themselves, and it is recommended to take it out and clean it every 3-5 days; 2. supportive treatment: including strengthening nutrition, enhancing physical fitness, paying attention to rest, keeping bowel movements smooth, avoiding heavy physical labor, and actively treating chronic cough, constipation and other diseases that increase abdominal pressure 3, pelvic floor muscle exercise: daily contraction of the anus can be performed, pelvic floor muscles contracted for more than 3 seconds and then relaxed for 10-15 minutes each time continuously, 2-3 times a day can be performed; 4, surgical treatment: anterior and posterior vaginal wall repair, partial hysterectomy, total hysterectomy plus anterior and posterior vaginal wall repair to restore normal anatomy and its function.