Doctor, after the first quite hard labor, my uterus fell significantly. Now I am in another pregnancy (31st week). Yesterday I heard on the ultrasound that I should be ready that the second child will also be big. I wonder if natural childbirth will make the situation with the uterus worse. Now it is significantly lowered and covers the entire entrance to the vagina.

Does the cervix protrude in front of the labia or the vaginal wall? Pregnancy itself can cause a decrease in the reproductive organ. Both childbirth and cesarean section can lower the uterus. It seems reasonable to me - if, of course, the current baby is not too big for a natural childbirth - to give birth to natural forces, and then possibly to perform vaginoplasty. Performing the incision may not improve or even worsen the reduction of the reproductive organ. It is difficult to give me an unambiguous answer without examining you. It is definitely worth discussing this situation with your doctor.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Anna Wilczyńska, MD, PhD

Experienced gynecologist-obstetrician, graduate of the Medical University of Warsaw, author of numerous medical articles in scientific journals and co-author of chapters of medical books. A member of the Polish Gynecological Society, he has a PTG ultrasound and colposcopy skills certificate. He deals with hormonal diagnostics, pregnancy management, treatment of diseases of the female reproductive tract, performs gynecological ultrasound, breast and fetal ultrasound, as well as 4D fetal ultrasound. He currently works at the Międzyleski Specialist Hospital in Warsaw.

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