
How to check if you have uterine prolapse
After giving birth, I've recently been experiencing a feeling of heaviness and distension in the lower abdomen, along with lower back pain. I suspect I might have a prolapsed uterus. Could you please advise on methods to determine whether I actually have a uterine prolapse?

Medically, uterine prolapse generally refers to the dropping or slipping of the uterus from its normal position, which is one of the common gynecological conditions. It mainly results from relaxation or damage of the pelvic floor muscles and ligaments.
Observe your own symptoms and note whether there is a sensation of pressure or fullness in the lower abdomen, vagina, or perineum, especially more pronounced after prolonged standing or physical exertion. Some patients may feel a foreign body protruding from the vaginal opening. Uterine prolapse may affect the function of the bladder or rectum, causing symptoms such as frequent urination, urgency, urinary incontinence, or constipation. If these symptoms appear, attention should be paid. In addition, changes in the position of the uterus may lead to pain or discomfort during sexual intercourse.
The above methods can only serve as preliminary judgment. A definitive diagnosis of uterine prolapse must be made by a qualified physician through gynecological examination and necessary imaging studies. On the examination table, the vagina is opened using a vaginal speculum to observe the relationship between the cervix and vaginal opening, allowing for an initial assessment of the presence and degree of uterine prolapse. For cases where the degree of prolapse is not obvious, ultrasound examination can accurately assess the extent of prolapse. Other auxiliary examinations include pelvic floor muscle assessment, urethral pressure measurement, and pelvic magnetic resonance imaging (MRI), which can provide more comprehensive evaluation information.