Correct option is D
Procidentia is a severe form of uterine prolapse in which the uterus descends completely through the vaginal opening. It is considered third-degree prolapse. Symptoms include pelvic pressure, discomfort, and urinary problems. Treatment may include pessary devices or surgery depending on severity and patient factors.
Explanation of options: (a) ✘ First-degree uterine prolapse – Uterus descends slightly, but not through the vaginal opening. (b) ✘ Zero-degree uterine prolapse – This term is not used clinically; it implies no prolapse. (c) ✘ Second-degree uterine prolapse – Uterus descends closer to the vaginal opening but not beyond it. (d) ✔ Third-degree uterine prolapse – Complete uterine prolapse outside the vaginal introitus; also called procidentia.