Uterine prolapse can be divided into several degrees

Uterine prolapse is divided into four degrees according to severity: first, second, third, and fourth degrees. Each degree has different causes and symptoms and requires different treatments. They are as follows:

1. First degree uterine prolapse: It is usually associated with slight relaxation of the pelvic floor muscles and ligaments, which may be caused by overwork, heavy physical labor or childbirth. You may feel a sense of heaviness or slight discomfort in the lower abdomen, but generally there are no obvious symptoms. Symptoms can be improved by strengthening the pelvic floor muscles, such as Kegel exercises. It is also important to avoid excessive fatigue and heavy physical labor. If the symptoms are mild, no special treatment is generally required.

2. Second degree uterine prolapse: Common after multiple births or pelvic floor muscle damage. The feeling of heaviness in the lower abdomen increases, and the symptoms are obvious when walking and standing. There may be a foreign body sensation in the vagina. A vaginal support such as a silicone ring can be used to support the uterus and relieve symptoms. Patients must follow the doctor's instructions to use medications. If necessary, pelvic floor muscle exercises or physical therapy can be performed under the doctor's guidance.

3. Third degree uterine prolapse: The pelvic floor muscles and ligaments are severely relaxed or damaged. The uterus partially or completely prolapses from the vaginal opening, accompanied by a significant feeling of heaviness, urinary incontinence or difficulty defecating. More aggressive treatment is required at this time, and surgical treatment such as uterine suspension or hysterectomy may be required.

4. Fourth degree uterine prolapse: The pelvic floor tissue is severely damaged after long-term untreated or multiple childbirths. The uterus completely prolapses from the vaginal opening, which may be accompanied by urinary incontinence, constipation and difficulty in sexual life. This situation usually requires surgical treatment, and common surgeries include uterine suspension or hysterectomy. Pelvic floor muscle rehabilitation training is required after surgery, and patients must follow the doctor's instructions for postoperative care and rehabilitation.

Patients with uterine prolapse should be careful to avoid heavy physical labor, perform pelvic floor muscle exercises regularly, seek medical attention promptly when symptoms occur, and follow the doctor's advice for treatment and care.