A patient is diagnosed with uterine prolapse into the vagina. Which factor most likely contributed to this patient's disorder?
1. Multiple pregnancies
2. Endometriosis
3. Pelvic inflammatory disease
4. Cervical tumor
1
Rationale 1: Downward displacement of the pelvic organs into the vagina results from weakened pelvic musculature, usually attributed to stretching of the supporting ligaments and muscles during pregnancy and childbirth. Multiple pregnancies may contribute to this disorder.
Rationale 2: Endometriosis is not a typical cause of uterine prolapse.
Rationale 3: Pelvic inflammatory disease is not associated with uterine prolapse.
Rationale 4: Cervical tumors are not associated with uterine prolapse.
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