How do doctors check for uterine prolapse?

Patient's question:

I had one child in a year, and my health is still okay. In 2001, I had an induced abortion once. Two and a half months later, while crossing the street holding my child, I experienced uterine prolapse for a while. On the third day, I lay in bed unable to move, feeling as if everything in my stomach was pressing on my thighs. What kind of help I need: How do doctors examine uterine prolapse?

Doctor's answer:

Uterine prolapse, also known as uterine descent, refers to the inability of the uterine lining to contract and return to its normal position, causing it to bend into the vagina. In severe cases, it may extend outside the body. The general symptoms of uterine prolapse include at least a sensation of heaviness or a feeling as if something is about to fall out from the lower abdomen, accompanied by chronic lower back and waist pain. In more severe cases, it can affect the bladder and rectum, leading to frequent urination, incomplete emptying of the bladder, or difficulty in bowel movements.
Patients with mild symptoms and no symptoms do not require treatment. Those with noticeable symptoms but who are not suitable for surgery due to other chronic conditions can use a pessary to alleviate symptoms. The pessary should be inserted during the day and removed at night to prevent long-term irritation from the foreign object, which may lead to urinary or fecal fistulas. Patients with significant symptoms should undergo a vaginal anterior wall repair surgery.

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