Anterior pelvic prolapse 2nd degree

If you find that you have second-degree anterior pelvic prolapse during a gynecological examination, you should take it seriously and try to go to the hospital for further examination. Only in this way can you know the real cause of your pelvic prolapse. It is usually a disease caused by congenital developmental abnormalities. If this is the case, it will only make your treatment more difficult and require long-term persistence.

It is the main cause of uterine prolapse. Childbirth, especially difficult labor, prolonged second stage of labor or vaginal operative delivery, can easily cause damage to the cervix, cardinal cervical ligament, uterosacral ligament and pelvic floor muscles. If the supporting tissue fails to return to normal after childbirth, uterine prolapse is likely to occur.

2. Increased abdominal pressure

Most mothers in the postpartum period like to lie on their backs and are prone to chronic urinary retention. The uterus is prone to become posterior, with the axis of the uterus in the same direction as the axis of the vagina. When the abdominal pressure increases, the uterus will descend along the direction of the vagina and prolapse will occur. Chronic constipation and cough, ascites or abdominal obesity can increase abdominal pressure and cause uterine prolapse.

3. Congenital developmental abnormalities

Uterine prolapse in nulliparous women is caused by poor development of the supporting tissues of the reproductive organs.

4. Malnutrition

Severe nutritional deficiencies can lead to muscle atrophy, relaxation of the pelvic fascia, and loss of support for the uterus. Uterine prolapse caused by malnutrition is often accompanied by symptoms such as gastroptosis and abdominal wall relaxation.

5. Aging

Ovarian dysfunction leads to a decrease in estrogen secretion, which makes the pelvic floor support tissue weak and loose, making uterine prolapse more likely to occur or worsening the original 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.