What are the symptoms of uterine prolapse?

Jul 14, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Uterine prolapse, also known as uterine descent, is a type of pelvic floor dysfunction. Its main symptoms include a sensation of pressure or heaviness, protrusion of tissue, abnormal urination, abnormal bowel movements, and lower back pain. If the aforementioned symptoms occur in daily life, they may be alleviated through pelvic floor muscle exercises, avoiding heavy physical labor, weight control, and other measures to reduce discomfort and improve the condition.

Uterine prolapse generally refers to the descent of the uterus. As a pelvic floor dysfunction disorder, uterine prolapse typically presents symptoms including a sensation of pressure or heaviness, protrusion of tissue from the vagina, urinary abnormalities, bowel dysfunction, and lower back pain. Detailed analysis is as follows:

1. Feeling of pressure/heaviness: Patients often experience a sensation of downward pressure in the lower abdomen, as if something is falling out of the vagina. This sensation usually worsens after prolonged standing, walking, physical exertion, or squatting and may ease with rest. In severe cases, the feeling of pressure persists and affects daily activities.

2. Protrusion of tissue: In mild cases, tissue protrudes from the vagina only when abdominal pressure increases (e.g., coughing, lifting heavy objects) and may retract on its own upon resting. In more severe cases, the protruding tissue cannot retract spontaneously and must be manually pushed back into the vagina. In extreme cases, the tissue remains outside the vaginal opening for prolonged periods, potentially causing sores, ulcers, or infections due to friction.

3. Urinary abnormalities: Uterine prolapse may compress the bladder or urethra, leading to urinary symptoms such as frequent urination, urgency, or urinary incontinence. In particular, urine may leak involuntarily when abdominal pressure increases, such as during coughing, laughing, or running. Some patients may also experience difficulty in urination, poor urine flow, or may need to apply pressure on the lower abdomen to void.

4. Bowel dysfunction: If the rectum is compressed due to uterine prolapse, bowel function may be affected, leading to difficulty in defecation and a feeling of incomplete evacuation. Patients may need to strain during bowel movements. In severe cases, constipation may occur, with stool remaining in the intestines for prolonged periods, causing abdominal bloating and discomfort.

5. Lower back pain: Uterine prolapse may stretch pelvic floor tissues and ligaments, causing lower back pain. The pain is typically a dull ache or a feeling of soreness and worsens after physical exertion or prolonged standing. It usually improves with rest. The pain is often localized in the lumbosacral region and may radiate to the perineal area.

If the above symptoms appear in daily life, patients may alleviate discomfort and improve their condition through pelvic floor muscle exercises, avoiding heavy physical labor, weight control, and other measures.

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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: