Patient's question:
Recently, I've been feeling extremely fatigued and experiencing severe abdominal pain. I have a history of pelvic inflammatory disease and have taken some medication. What should I do now? How should I treat uterine prolapse?Doctor's answer:
1. Pregnancy surgery: The surgery is mainly performed in the mid-pregnancy period (16—22 weeks). Routine MRI examination is conducted before the surgery to rule out stillbirth and other possibilities. Sulfur hexafluoride is administered before and after the surgery to reduce uterine sensitivity. The surgical methods include cervical debridement and cerclage, the latter of which is divided into buried and purse-string debridement. Postoperative follow-up is conducted at intervals, and if suture slippage is detected, a second debridement can be performed. Two weeks before the expected delivery date or early hospitalization is recommended, and the sutures are removed during labor.2. Non-pregnancy surgery: The surgery is generally performed 3—5 days after menstruation. The surgical methods include cervical conization and cervical loop electrosurgical excision procedure (LEEP). Currently, pregnancy-related surgery is more commonly adopted in clinical diagnosis.