Patient's question:
I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness. Could you please tell me what symptoms are associated with uterine prolapse?Doctor's answer:
Hello, uterine prolapse refers to a syndrome of reproductive and adjacent organ displacement where the supporting tissues of the uterus are damaged or weakened, causing the uterus to descend from its normal position along the vagina, with the external os of the cervix below the ischial spines, or even the entire uterus falling outside the vaginal opening. The main symptoms include:1. A mass protruding from the vagina. In II and III degrees of uterine prolapse, the cervix and uterine body protrude outside the vaginal opening and can be retracted when lying down. If this mass is not recognized as the uterus, the patient may mistake it for a tumor, causing great anxiety and distress, disrupting sleep and appetite.
2. Increased vaginal discharge, sometimes appearing yellow and purulent or watery with blood. This may lead to worry and fear of suffering from uterine cancer.
3. Incontinence, urinary frequency, urgency, and dysuria. Urine may involuntarily leak from the urethral opening during coughing, sneezing, laughing, or walking.
4. A sensation of heaviness and lower back pain, particularly in the deep lumbosacral region, though there is no point of tenderness. This is caused by uterine prolapse pulling on its surrounding supportive tissues, as well as secondary pelvic congestion.
5. Constipation, abdominal distension, and difficulty defecating. When the uterus is in II or III degrees of prolapse, the posterior vaginal wall may also prolapse, causing the rectum to bulge in an S-shaped curve. This makes it difficult for stool to pass smoothly, leading to constipation and defecation difficulties. Sometimes the curvature is excessive, making it hard to pass gas or flatulence, resulting in abdominal distension.