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Uterine prolapse

Alternative Names:

Pelvic relaxation; Pelvic floor hernia

Symptoms:

Signs and tests:

A pelvic examination (with the woman bearing down) reveals protrusion of the cervix into the lower part of the vagina (mild prolapse), past the vaginal introitus/opening (moderate prolapse), or protrusion of the entire uterus past the vaginal introitus/opening (severe prolapse).

These signs are often accompanied by protrusion of the bladder and front wall of the vagina ( cystocele ) or rectum and back wall of the vagina (rectocele) into the vaginal space. The ovaries and bladder may also be positioned lower in the pelvis than usual.

A mass may be noted on pelvic exam if a tumor is the cause of the prolapse (rare).

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