How to determine whether the uterus is prolapsed

For a woman, the happiest moment in her life is pregnancy, because giving birth to a life during pregnancy is a great sense of happiness. However, pregnancy can also cause great damage to a woman's body. For example, some women may suffer damage to their uterus during pregnancy. The uterus will also be affected to a certain extent after childbirth, so let us learn how to judge uterine prolapse.

Uterine prolapse examination 1: There is a feeling of falling in the lower body

Check if you feel any pressure in your pelvic cavity or a feeling of heaviness in your lower abdomen. Severe patients may feel a bulge in their lower body. It feels similar to the premenstrual period.

Note: Patients with prolapsed uterus need to keep their vulva clean. Reduce the chance of viral and bacterial infection.

Uterine prolapse examination 2: pain

Check if you have any pain in your lower abdomen, such as lower back pain. Pain during sexual intercourse, etc. Because the tightness of the prolapsed ligaments of the uterus decreases, the uterus falls outside the body, and the friction and falling cause pain in the lower abdomen of women. Severely ill patients may have difficulty walking. Fidgeting and other phenomena.

Note: If the pain worsens, you need to go to the hospital for detailed examination and treatment, and do not take painkillers on your own.

Uterine prolapse examination three: urinary difficulty

Because there is a bladder in front of the uterus and a rectum behind it, once it sags, urination or defecation problems may occur. Such as urinary retention, urinary incontinence and so on.

Note: Patients with dysuria need to change and wash their underwear frequently. Severe patients may choose to use pads.

Uterine prolapse check 4: Inconvenience in travel

Severe patients may have difficulty walking due to uterine prolapse. In addition, if the uterus prolapses outside the body, it will cause inconvenience when going out and can easily make women feel inferior.

Note: Patients with uterine prolapse are advised not to go out and lie down and rest as much as possible.

Uterine prolapse examination five: urethra

Take the bladder lithotomy position, do not urinate, ask the patient to cough, and observe whether there is urine overflow. If so, the examiner places the index and middle fingers on both sides of the urethra, presses slightly forward, and then asks the patient to cough. If the urine overflow can be controlled, it indicates stress urinary incontinence. Then ask the patient to empty his/her bladder on his/her own. After disinfection, insert a urinary catheter to check for urine retention and the amount of urine retained.

Note: Women do not need to feel excessive pressure, anxiety or shyness during urethral examination. If you are worried, you can ask your best friend or family member to accompany you.

Uterine prolapse examination six: vaginal and anal digital examination

If the cervix is ​​not exposed, perform vaginal examination and measure the distance between the cervix and the vaginal opening in cm. During vaginal examination, attention should also be paid to the approximate width of the distance between the levator ani muscles on both sides. The degree of perineal injury. Anal examination checks the degree of rectal prolapse and the tension of the anal sphincter. Use a vaginal speculum to observe whether the vaginal wall and cervix are ulcerated, and whether there is rectouterine hernia. During intravaginal 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.

Note: Before vaginal and anal examinations, please pay attention to the sterility of the supplies and clean your vaginal opening before the examination.