Patient's question:
During this period, I often feel as if my lower abdomen is being pulled downward. This sensation is particularly noticeable when I'm squatting. After checking at the hospital, they said it's uterine prolapse. I'm very concerned. Could you please tell me where to get a check-up for uterine prolapse?Doctor's answer:
Instruct the patient to doubt urination, and position them in the lithotomy position for the bladder. During a careful examination, first ask the patient to cough or gasp to enhance abdominal pressure, and carefully observe whether urine flows from the urethral meatus to identify stress incontinence. Then empty the bladder and perform a gynecological examination. First, pay attention to the condition of vaginal wall prolapse and uterine prolapse without exertion. Also, observe the condition of the vulva and the degree of perineal rupture. Use a speculum to carefully examine the vaginal walls and cervix for signs of pus, and check for rectocele. During vaginal examination, pay attention to the condition of both levator ani muscles, confirm the width of the levator ani fissure, the position of the cervix, and then determine the size of the uterus, its position in the pelvic cavity, and whether there is inflammation or tumors in the adnexa.