The uterus decomposition refers to the decline of the uterus from its normal position along the vagina, even outside the vagina, which is a common gynaecology disease, especially among older and middle-aged women. The need for hysterectomy for treatment of uterine decomposition should be determined on a case-by-case basis and should not be generalized.Treatment options for uterine decomposition1. Non-surgeryBottom muscle exercise: Strengthening bottom muscles through the Kegel movement, among others, helps to mitigate mild uterus decomposition.uterus: The use of uterus can support the uterus, reduce the symptoms of decomposition and apply to all levels of decomposition.Lifestyle change: Reduction of heavy physical work, weight control, prevention of constipation, etc. can reduce the symptoms of uterus decomposition.SurgeryConservative surgery: vaginal wall repair, cervical condensation, etc., aimed at restoring normal uterus positions and preserving uterus.hysterectomy: This includes hysterectomy and hysterectomy, which are applicable to patients with severe uterine deformation or with other diseases, such as uterine musculoma and uterus.Considerations of hysterectomy1. Extent of the diseaseLight uterus decomposition: For mild decomposition, preference is given to non-surgery treatment, such as bottom exercise and uterus.Medium to severe uterus decomposition: If non-surgery treatment is ineffective or the patient has serious symptoms, surgical treatment may be required. The hysterectomy takes into account, inter alia, the age of the patient, the needs of the child and the overall state of health.2. Age and fertility needs of patientsYoung women: Priority should be given to conservative surgery if the patient wishes to retain reproductive capacity.Post-menopausal women: In the case of post-menopausal women who no longer have reproductive needs, the uterus may be considered for hysterectomy if the uterus is severe.3. Complications and complicationsNo complications: If the uterus has no other complications, such as myoma, adenoma, etc., the uterus may be considered for preservation.There are complications: hysteria may be more appropriate if accompanied by other diseases.4. Patient ‘ s will and expectationsPatient ‘ s will: The patient ‘ s personal will is an important factor in determining the treatment programme. The doctor should fully inform the patient of the advantages and disadvantages of the various treatments and allow the patient to make an informed choice.Quality of life: The hysterectomy may affect the mental and physical state of the patient and the effects of the surgery on the quality of life need to be considered.The pros and cons of surgery.Advantages of hysterectomyA definitive solution to the problem of uterine decomposition: hysterectomy can completely resolve the problem of decomposition and reduce the likelihood of recurrence.Other diseases are dealt with together: if the uterus is accompanied by other diseases, such as myooma, adenoma, etc., hysterectomy can be addressed together.Shortcomings in hysterectomyUnreversible: The hysterectomy is permanent and the patient loses fertility after the operation.Possible impact on ovarian function: Uternal hysterectomy may affect ovarian blood supply and thus ovarian function.Psychological impact: For some women hysterectomy can have psychological effects.ConclusionsTreatment for uterine decomposition should be individualized according to the specific circumstances of the patient. Non-surgery treatment is the preferred option and may be necessary for patients with severe uterine decomposition or other complications. When considering whether to remove the uterus, the seriousness of the condition, the age of the patient, the need for childbirth, the overall state of health and the individual wishes of the patient should be fully assessed. Doctors and patients should decide together on the most appropriate treatment options. The hysterectomy was not the only option and should not be taken lightly, and informed decisions should be taken after a comprehensive assessment.
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