Under normal circumstances, women with fibroids or adenomyosis resulting in an enlarged uterus, such as the size of the third trimester of pregnancy must be removed. If a woman has reached menopause and is only suffering from an enlarged uterus due to adenomyosis, she may not need to have her uterus removed first, as the condition of adenomyosis will gradually diminish and ease as the woman goes through menopause. If the uterus is enlarged less obviously, but there are obvious symptoms, by drug treatment can not be relieved dysfunctional bleeding, uterine fibroids large, multiple, etc. lead to women’s anemia. Severe urinary symptoms need to be removed from the uterus. Clinical decision on whether to remove the uterus is more accurate based on a comprehensive judgment of the patient’s age, fertility requirements, and the symptoms present.