Does uterine prolapse require hysterectomy?

Uterine prolapse generally refers to the uterus protruding out of the vagina due to weak pelvic tissue, which does not necessarily require hysterectomy. For women with mild uterine prolapse, hysterectomy is not necessary, and it can be relieved through pelvic floor muscle exercises, pessary therapy, and drug therapy. For women with severe uterine prolapse and no fertility needs, hysterectomy should be considered.

1. Situations where hysterectomy is not necessary

1. Pelvic floor muscle exercise: For patients with mild uterine prolapse, especially young women with fertility needs, Kegel exercises can be performed to strengthen the pelvic floor muscles by forcefully contracting the anus, thereby improving the condition of uterine prolapse.

2 Pessary treatment: For older patients who cannot tolerate surgery or wish to avoid surgery, they can be given a pessary treatment. The pessary can support the uterus, prevent it from moving further downward, and reduce related symptoms such as back pain.

3. Drug treatment: For mild uterine prolapse, some drugs can be used to relieve symptoms, such as Buzhong Yiqi Pills and Fuke Duanhongyin Capsules, which can enhance the strength of the pelvic floor muscles.

2. Situations where hysterectomy is required: Hysterectomy may only be considered in some severe cases of uterine prolapse, when the patient is older, has no fertility needs, and has other serious gynecological diseases. The doctor will conduct a detailed assessment and full communication based on the patient's specific situation, weigh the pros and cons of various treatment methods, and develop a suitable treatment plan for the patient.

It is recommended that patients seek medical treatment in a timely manner and follow the doctor's advice for treatment based on their own conditions. In daily life, they should rest more, avoid fatigue, and avoid lifting heavy objects to avoid aggravating uterine prolapse.