The decision to perform surgery for adenomyosis depends on the condition. Patients with severe symptoms and ineffective medication can be treated with surgery, while those with mild symptoms can be treated with medication. 1. Surgery is suitable for patients with severe symptoms and ineffective drug treatment. Surgical methods include total hysterectomy, adenomyosis lesion excision, endometrial resection, uterine artery embolization and so on. (1) Total hysterectomy: It is suitable for women with diffuse adenomyosis, ineffective conservative treatment, and no requirement for reproduction, and the radical effect can be achieved by hysterectomy. (2) Focal resection of adenomyosis: it is suitable for patients with fertility requirements and limited lesions. Just removing the lesion has the risk of recurrence. (3) Endometrial resection: suitable for women without reproductive requirements, the surgery only damages the endometrium. (4) Uterine artery embolization: blocking the blood supply to the lesion by embolizing the uterine artery can preserve the ovaries and uterus. 2. Drug therapy is suitable for women with mild symptoms, fertility requirements or close to menopause. (1) Hormonal drugs: for example, highly effective progesterone, used to reduce the amount of menstruation and control the further progress of the disease. (2) Non-steroidal anti-inflammatory analgesics: such as ibuprofen, used to relieve pain in patients, suitable for patients approaching menopause. (3) Selective progesterone receptor modulators: e.g., mifepristone, etc., used to inhibit cell proliferation. (4) Antiplatelet therapy: e.g., ozagrel sodium, used to inhibit fibrosis production. If the diagnosis of adenomyosis is confirmed, it is recommended to consult a doctor in time for active treatment under the doctor’s guidance.