What is the best way to treat uterine prolapse?

What is the best way to treat uterine prolapse is the question that patients with uterine prolapse want to ask most. To treat uterine prolapse, treatment must be based on the patient's condition. Patients can use non-surgical treatment, surgical treatment, and traditional Chinese medicine treatment. During treatment, medication must be taken according to the doctor's orders to prevent postoperative complications. The following will introduce the treatment methods for uterine prolapse. I hope that through my explanation, everyone can gain some understanding.

1. Surgical treatment

1) Indications

It is generally used for patients with severe second-degree, third-degree and/or moderate vaginal wall prolapse, or patients who do not respond to non-surgical treatment and whose symptoms are severe.

2) Contraindications

Heart failure, renal failure, liver cirrhosis or liver damage, active pulmonary tuberculosis, pulmonary failure, diabetes, mental disorder, severe anemia, chronic cough and hemorrhagic diseases, malignant tumors, systemic infectious diseases, etc. In the case of urinary tract inflammation and severe cervical erosion, surgery should be performed after the condition is under control.

3) Choice of surgical procedure

(1) Anterior and posterior vaginal wall repair: Suitable for patients without obvious cervical elongation and without pathological changes in the cervix and uterine body.

(2) Manchester operation (partial vaginal cervical resection and anterior and posterior vaginal wall repair): suitable for patients with elongated cervix.

(3) Total vaginal hysterectomy and anterior and posterior vaginal wall repair: Suitable for elderly patients with uterine prolapse, uterine prolapse accompanied by atypical cervical hyperplasia, functional uterine bleeding, small uterine fibroids, or uterine prolapse accompanied by severe keratinization of the vaginal wall that cannot be retracted.

(4) Vaginoplasty: Suitable for postmenopausal patients with smooth cervix, no sexual desire, and moderate or severe bulging of the anterior and posterior vaginal walls.

The principles of TCM treatment for uterine prolapse are to invigorate Qi and lift it, warm Yang and benefit the kidney, and replenish Qi and consolidate prolapse. The treatment method should follow the principle of "tonifying the weak, lifting the sunken, and consolidating the deficient". Clinically, based on syndrome differentiation, the main treatments are to tonify the middle and replenish qi, raise yang and lift the sunken, and tonify the kidney and consolidate the deficient. That is, for those with qi deficiency, focus on replenishing qi and lifting; for those with kidney deficiency, focus on tonifying the kidney and consolidating; for those with deficiency accompanied by dampness and heat, first clear the dampness and heat to treat the symptoms, and then use lifting, consolidating and astringing to treat the root cause.

2. Traditional Chinese Medicine Treatment

1. Qi deficiency

Treatment method: Replenish Qi and lift it up.

Prescription: Buzhong Yiqi Decoction with added ingredients. Astragalus 30g, Codonopsis pilosula 20g, Atractylodes macrocephala 12g, Tangerine peel 9g, Bupleurum 9g, Cimicifuga heracleifolia 10g, Chuanduan 15g, Rosa laevigata 12g, and Licorice root 6g. For patients with secondary damp-heat, excessive leucorrhea, yellow and thick texture, and foul odor, remove Cornus officinalis and Codonopsis pilosula from the original prescription and add Phellodendron chinense 15g, Patrinia 15g, Coix seed 15g, etc. to clear away heat and dampness.

2. Kidney deficiency

1) Treatment method: tonify the kidney and consolidate the body.

2) Prescription: Dabuyuan Decoction with added ingredients. Angelica 15g, Rehmannia glutinosa 15g, Eucommia ulmoides 15g, Cornus officinalis 15g, Lycium barbarum 15g, Chinese yam 30g, roasted licorice root 10g, antler glue 15g, placenta 10g, Rosa laevigata 20g, Euryale ferox 20g. If the fire of Mingmen is weak and the vital energy is insufficient, add 20g of Psoralea corylifolia and 10g of cinnamon bark.

3. Dampness and heat

1) Treatment method: Clear away dampness and heat.

2) Prescription: Longdan Xiegan Decoction with added ingredients. 15g of Bupleurum, 10g of Akebia, 15g of Alisma, 15g of Plantago, 15g of Rehmannia, 15g of Angelica, 15g of Gardenia, 15g of Scutellaria, 15g of Phellodendron, 15g of Atractylodes, 15g of Smilax, and 10g of Licorice.

What is the best way to treat uterine prolapse? In fact, symptomatic treatment is the best treatment for uterine prolapse. There are better methods to treat uterine prolapse. Each treatment has certain treatment indications. Patients can choose the treatment plan that suits their condition during treatment. However, during the treatment period, you should pay attention to disease care. Effective care can help the disease recover as soon as possible.