Can postpartum uterine prolapse heal on its own?

Whether postpartum uterine ptosis can heal on its own depends on the degree of uterine ptosis. Mild cases of uterine ptosis may resolve on their own, but moderate to severe cases usually require medical intervention. Uterine prolapse may be related to pelvic floor muscle injury, childbirth trauma and other factors. It is recommended to seek medical evaluation in time.

Mild uterine ptosis is manifested by a slight feeling of distension in the lower abdomen when standing, and the symptoms are relieved after lying down. At this time, strengthen the pelvic floor muscles through Kegel exercises and avoid lifting heavy objects or standing for a long time. Most of them will gradually recover 3-6 months after delivery. Appropriate supplementation of high-quality protein such as fish and eggs can help tissue repair, maintain regular bowel movements and reduce abdominal pressure.

Moderate to severe uterine prolapse will cause an obvious falling sensation, difficulty urinating, or vaginal bulging. This condition is often caused by severe tearing of the pelvic floor muscles or ligament laxity, and the probability of self-healing is low. It is necessary to use pessary support or consider pelvic floor reconstruction surgery. When combined with stress urinary incontinence, urethral sling surgery may be required. Delaying treatment may lead to complications such as urinary retention and recurrent urinary tract infections.

Pelvic floor muscle strength assessment should be routinely performed during the 42-day postpartum review. Changes in hormone levels after the end of lactation may aggravate symptoms. Avoid chronic coughing, constipation and other behaviors that increase abdominal pressure on a daily basis, and choose low-impact exercises such as swimming instead of running. If you have abnormal urination or painful intercourse, it is recommended to see a gynecologist or pelvic floor rehabilitation department as soon as possible.