Uterine Prolapse: Why Symptoms Don't Always Match the Stage

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A patient with advanced anatomical prolapse (e.g., Stage III or IV on POP-Q) might report minimal bother, while another with mild prolapse (Stage I or II) might experience significant symptoms like pelvic pressure, a vaginal bulge ("something falling out"), low back pain, or sexual dysfunction. Symptoms can also include Lower Urinary Tract Symptoms (LUTS) like frequency, urgency, hesitancy, or incomplete emptying. Clinical Importance: Treatment decisions should be primarily driven by the patient's symptoms and their impact on Quality of Life (QoL), not solely by the anatomical stage found on examination. A detailed history focusing on bother is crucial.
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Professor Armen Astvatsatryan, MD, PhD, ScD, Fellow of European Society of Cardiology. First Dean and Founder of Faculty of Public Health of European Regional Educational Academy (now University). One of 100 Top Health Professionals - 2007 by the International Biographical Center`s (Cambridge, England)
aramis1969@mail.ru
https://t.me/ugolokdoctora
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