上海交通大学医学院：《妇产科学》（双语） 46 Our topics today

Our topics today 口 Uterine prolapse 口 Amenorrhea DYsfunctional uterine bleeding 口PCOS iNfertility uPeri-menopause period syndrome Zhao aimin Md ph D SSMU 2021/2/21

2021/2/21 1 Our topics today ❑Uterine prolapse ❑Amenorrhea ❑Dysfunctional uterine bleeding ❑PCOS ❑Infertility ❑Peri-menopause period syndrome Zhao aimin MD.Ph.D SSMU

Uterine prolapse 2021/2/21

2021/2/21 2 Uterine prolapse

Definition The uterus gradually descends in the axis of the vagina taking the vaginal wall with it. It may present clinically at any level, but is usually classified as one of three degrees 2021/2/21 3

2021/2/21 3 Definition The uterus gradually descends in the axis of the vagina taking the vaginal wall with it. It may present clinically at any level, but is usually classified as one of three degrees

Anteverted Uterus The uterus is approximately at right angles to the vagina and has a slight forward curve 2021/2/21

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Retroposition The uterus is displaced backwards but the direction of its axis remains the same 2021/221 5

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Retroversion The long axis of the uterus is directed backwards 2021/221 6

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Retroflexion The uterus is curved backwards. The cervix may remain in the normal position but is usually positioned as in retroversion. 2021/2

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Degrees of uterine prolapse uFirst degree: cervix still inside vagina The uterus gradually descends in the axis bf the vagina taking the vaginal wall with it. t may present clinically at any level, but is usually classified as one of three degrees 0 First degree: cervix still inside vagina

2021/2/21 8 Degrees of uterine prolapse ❑First degree:cervix still inside vagina

Degrees of uterine prolapse u second degree the cervix appears outside the vulva. The cervical lips may become congested and ulcerated Second degree: the cervix appears outside the vulva. The cervical lips may become congested and ulcerated 9

2021/2/21 9 Degrees of uterine prolapse ❑Second degree:the cervix appears outside the vulva. The cervical lips may become congested and ulcerated

Degrees of uterine prolapse a Third degree: complete prolapse. In the picture the uterus is retroflexed. and the outline of bladder can be seen this is sometimes called complete procidentia Bladder Third degree: complete prolapse. In the picture the uterus is retroflexed and the outline of bladder can be Seen.- There may be a rectal prolapse as well This is sometimes called lete Course procidentia 10

2021/2/21 10 Degrees of uterine prolapse ❑Third degree:complete prolapse.In the picture the uterus is retroflexed,and the outline of bladder can be seen.This is sometimes called complete procidentia