What Should I Do About Vaginal Eversion?

Vaginal Prolapse: Causes, Symptoms, and Treatment

Vaginal prolapse, which manifests as an outward turning of the vaginal walls, is a condition observed in a minority of women. This condition can be physiological or pathological, and it is recommended to consider other clinical manifestations for a comprehensive diagnosis and treatment plan. If a woman consistently exhibits signs of vaginal prolapse without any other discomfort, it is often attributed to genetic predisposition. As long as it does not interfere with daily life, no treatment is necessary. However, maintaining hygiene in the external genital area is crucial to prevent infections.

Vaginal prolapse can also occur after marriage. What should be done in such cases? Let's explore further.

What to Do About Vaginal Prolapse

Under normal conditions, vaginal prolapse should not occur. If it does, it indicates a pathological state. This condition is more common in women who have undergone multiple childbirths, as it can lead to damage to the pelvic floor muscles and ligaments, resulting in anterior and posterior vaginal wall prolapse, as well as uterine prolapse. Mild cases of vaginal prolapse can be managed with daily pelvic floor exercises or the use of pelvic floor rehabilitation devices. In severe cases, surgical intervention may be required, such as vaginal wall repair or vaginal hysterectomy.

Causes of Vaginal Prolapse

Vaginal prolapse in a minority of women can be attributed to both physiological and pathological factors, which require a comprehensive diagnosis and treatment plan based on other clinical symptoms. Here are some possible causes:

1. If a woman consistently exhibits signs of vaginal prolapse without any other discomfort, it is likely due to genetic predisposition. As long as it does not affect normal daily life, no special treatment is necessary. However, maintaining hygiene in the external genital area is essential to prevent infections.

2. Some women may develop vaginal prolapse after marriage, often due to excessive sexual activity or vaginal childbirth, which can lead to protrusion of the vaginal walls. This pathological condition requires consultation with a gynecologist in a secondary or tertiary hospital for appropriate management. Prompt treatment is crucial to avoid long-term complications that can affect sexual function and overall health.

Causes of Cervical Ectropion

Cervical ectropion, which refers to the outward turning of the cervical epithelium, can be physiological or caused by trauma to the cervix during childbirth, abortion, or other reasons. It is commonly observed in women during puberty, those with high estrogen levels, during pregnancy, and those who take oral contraceptives. The appearance of the cervix may resemble a "erosion" due to the outward shift of the squamocolumnar junction under the influence of estrogen. However, it is essential to undergo cervical cytology and HPV testing, and in some cases, biopsy under colposcopy may be necessary to rule out precancerous lesions.

If cervical inflammation is present, timely treatment is crucial to prevent complications such as endometritis and salpingitis. Treatment should be initiated 3 to 7 days after menstruation and discontinued during acute genital inflammation. After treatment, vaginal discharge may increase temporarily, so maintaining external genital hygiene, avoiding sexual activity, and adhering to a bland diet are recommended.