What are the symptoms of uterine prolapse?

Jul 03, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, symptoms of uterine prolapse include a protruding mass within the vagina, a sensation of pressure or heaviness, backache, increased vaginal discharge, stress urinary incontinence, and pain during sexual intercourse. If discomfort occurs, it is recommended to seek timely medical attention and treatment at a qualified hospital. Additionally, it is important to avoid heavy physical labor, maintain a healthy weight, and strengthen pelvic floor muscle exercises.

Generally, symptoms of uterine prolapse include a protruding mass within the vagina, a feeling of heaviness or lower back pain, increased vaginal discharge, stress urinary incontinence, and pain during sexual intercourse. If discomfort symptoms appear, it is recommended to seek timely diagnosis and treatment at a regular hospital. Detailed analysis is as follows:

1. Protruding mass within the vagina: In cases of uterine prolapse, the uterus descends from its normal position along the vagina, and in severe cases may protrude outside the vaginal opening. Initially, the mass protrudes after prolonged standing, coughing, or straining during bowel movements and can retract on its own when resting. As the condition worsens, the protruding tissue must be manually repositioned, or may even be irreducible, remaining exposed for long periods and prone to friction, ulceration, and infection.

2. Feeling of heaviness and lower back pain: Uterine prolapse stretches the surrounding ligaments and fascia and causes pelvic congestion, leading patients to often feel a distinct heaviness in the lower abdomen, vagina, and perineum, especially exacerbated after prolonged standing or physical exertion. Meanwhile, the lower back, under persistent abnormal pressure, experiences soreness or distending pain, which can be relieved after lying down and resting.

3. Increased vaginal discharge: The prolapsed uterus remains exposed outside the body for a prolonged period, causing poor local blood circulation and insufficient tissue nutrition supply. This leads to thinning and congestion of the vaginal mucosa, making it susceptible to ulceration and infection, which in turn increases vaginal discharge. The discharge may appear purulent or have an odor; in severe cases, vaginal bleeding may also occur.

4. Stress urinary incontinence: Normally, the pelvic floor tissues support the bladder and urethra, maintaining their normal positions and functions. In cases of uterine prolapse, the pelvic floor supporting structures are damaged, causing the bladder neck to descend and weakening the function of the urethral sphincter. When abdominal pressure increases—such as with coughing, laughing, sneezing, or lifting heavy objects—the pressure within the bladder exceeds the resistance of the urethra, causing involuntary leakage of urine.

5. Pain during sexual intercourse: Uterine prolapse alters the normal anatomical structure and position of the vagina. During sexual intercourse, the prolapsed uterus and vaginal tissues are stimulated or impacted, causing localized pain and discomfort. Additionally, thinning and dryness of the vaginal mucosa can intensify the pain during sexual activity, affecting sexual quality of life.

In daily life, it is important to avoid heavy physical labor, maintain a healthy weight, strengthen pelvic floor muscle exercises, drink plenty of water, and maintain a balanced diet to promote recovery and prevent worsening of the condition.

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What are the ways to restore normal function in cases of uterine prolapse?

Uterine prolapse, also known as uterine descent, requires treatment methods selected according to the severity of the condition. Generally, recovery can be achieved through consistent pelvic floor muscle exercises, adjustment of daily posture, use of uterine pessaries, physical therapy, and surgical intervention. The recovery plan should be developed based on the degree of prolapse; mild cases are primarily managed with conservative treatments, while severe cases require timely evaluation for the necessity of surgery.

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How can uterine prolapse be pushed back in?

In general, uterine prolapse can be managed through pelvic floor muscle exercises, pessary use, medication, surgical treatment, and traditional Chinese medicine, which may help in recovery. Additionally, patients should avoid heavy physical labor, chronic coughing, and other activities that increase abdominal pressure in daily life. Weight management is also important to reduce the risk of worsening prolapse. Regular follow-up examinations are necessary during treatment.

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How can uterine laxity be improved to become tighter?

In general, uterine laxity may be caused by factors such as tissue stretching after pregnancy and childbirth, declining estrogen levels associated with aging, damage to the muscular layer due to repeated intrauterine procedures, mild uterine prolapse, or pelvic floor muscle dysfunction. It is recommended to seek timely medical attention, identify the underlying cause, and then improve the condition under a doctor's guidance through general treatments, medication, surgical interventions, or other appropriate methods.

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How much does uterine prolapse surgery cost?

In general, the reference price for uterine prolapse surgery ranges from 8,000 to 30,000 yuan per procedure. Noticeable recovery effects can typically be observed 1 to 3 months after surgery. However, the exact cost may vary depending on factors such as the type of surgery, surgical materials, preoperative examinations, postoperative care plans, and the urgency of the procedure. This surgery should be performed at a qualified and正规 hospital. A detailed explanation is as follows: