To what extent do you have uterine prolapse?

This article is professionally consulted by: Doctor Nguyen Chi Quang, Obstetrician and Gynecologist, Vinmec Central Park General Hospital. The doctor has many years of experience in the field of obstetrics and gynecology.

Uterine prolapse is divided into 3 levels corresponding to disease manifestations, in which grade 1 is the mildest when the uterus is still in the vaginal canal and grade 3 is the most dangerous when the entire uterus is completely prolapsed outside the vagina. religion.

Normally, a woman's uterus is located just above the vagina, but if for some reason the muscles and ligaments are stretched and are not elastic enough to support, the uterus will drop into the vagina. cause uterine prolapse. Depending on the disease symptoms, uterine prolapse is divided into 3 levels as follows:
Grade 1 uterine prolapse: This is the mildest level, although the uterus has prolapsed, but it is still in the vaginal canal. Grade 2 uterine prolapse: The uterus drops to the vaginal opening and can be seen during heavy work or continuous activity. Grade 3 uterine prolapse: The whole uterus drops out of the vagina, the pink part of the uterus can be seen, the size of a chicken egg. Grade 3 uterine prolapse is considered the most dangerous case, the risk of leading to uterine infection and surgical removal because the uterus cannot retract on its own.

Depending on the severity of the disease, symptoms appear in each patient will be different. However, for mild cases, patients are difficult to detect because the symptoms are not clear and do not have a great impact on daily activities. Specifically, the disease symptoms at each level are as follows:
Grade 1 uterine prolapse: The patient has signs of heaviness in the abdomen, lower abdominal pain before menstruation. In addition, the patient has signs of back pain when standing for a long time or doing heavy work, feeling the need to urinate, urinating many times, but the amount of urine is not much. Grade 2 prolapse: Symptoms become more severe. Patients with difficult, painful bowel movements, thin discharge, white or accompanied by mucus, abnormal vaginal bleeding... Especially, when having sex, it feels like the uterus drops out of the vaginal opening. . Grade 3 uterine prolapse: Symptoms can appear quite severe and very dangerous, greatly affecting daily life, making it difficult and entangled to walk because there is always a lump in the vagina. . Specifically, the uterus appears swollen, sores, pus, sometimes yellow discharge. In more severe cases, the patient may experience high fever, severe constipation, and other symptoms. When experiencing the above symptoms, patients are easily confused with some other diseases such as ovarian cysts or uterine fibroids. Therefore, for accurate and effective treatment, patients need to go to a medical facility that specializes in obstetrics and gynecology, avoiding procrastination because it can lead to dangerous complications.

Uterine prolapse if detected and treated promptly, the patient will not be too affected. However, if it has progressed to grade 3 uterine prolapse, the patient needs to be alert to some dangerous complications of the disease:
3.1. Vaginal ulcers Vaginal ulcers usually occur when the disease has advanced to the highest degree. At that time, the uterus prolapses, and at the same time pulls a part of the vaginal lining protruding outside, easily causing vaginal sores and infection.
3.2. Pelvic organ prolapse Patients with severe prolapse may experience prolapse of other pelvic organs, including the rectum and bladder, which can cause problems with bowel-related activities. secretions and, more seriously, the risk of urinary tract infections.

In the case of grade 1 uterine prolapse, which hardly affects life, the patient only needs to change a bit of living habits to relieve symptoms. Alternatively, you can do some pelvic floor muscle exercises to fix it, like kegel exercises. In the case of patients with grade 3 uterine prolapse, leading to ulcers, they must be intervened with special medical methods.
Currently, women's knowledge in general has been improved, life has improved a lot, the fertility rate has decreased, so the phenomenon of uterine prolapse is not as much as before, especially in urban areas. town. However, in rural and mountainous areas, uterine prolapse is still a fairly common disease for postpartum women and elderly women.
Treatment of genital prolapse has different effective surgical treatment methods. Depending on the extent of the examination, the doctor will prescribe medical or surgical intervention. At Vinmec International General Hospital, robotic laparoscopic surgery is the optimal method for any genital prolapse. With this method, the patient will have advantages such as non-recurrence of the disease, preservation of the uterus and resolution of accompanying urinary symptoms of the disease.