FISDAP OB-GYN Practice Test 2026 - Free OB-GYN Practice Questions and Study Guide

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In instances of uterine prolapse, which symptom is commonly observed?

Increased menstrual flow

Abdominal swelling

Vaginal pressure or bulging

Uterine prolapse occurs when the pelvic floor muscles weaken, allowing the uterus to descend into the vaginal canal. One of the hallmark symptoms of this condition is a sensation of vaginal pressure or bulging. This occurs because as the uterus shifts out of its normal position, it creates a noticeable mass or feeling of fullness in the vagina. Women may describe this sensation as if something is falling out or pushing against the vaginal wall.

The presence of vaginal pressure can vary in intensity and may be accompanied by other symptoms such as urinary issues or lower back pain. However, the feeling of pressure or bulging is particularly distinctive and helps in diagnosing uterine prolapse.

In contrast, symptoms such as increased menstrual flow, abdominal swelling, or painful intercourse may occur in other gynecological conditions but are not specifically linked to uterine prolapse. Therefore, the sensation of vaginal pressure or bulging stands out as a key indicator of this condition.

Painful intercourse

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