Whether online or in clinical practice, I have encountered the situation that adenomyosis patients directly send or bring over an ultrasound checklist and ask me: look at my checklist, look at my adenomyosis is not serious, how do I feel like it is serious? In fact, the severity of adenomyosis depends on the severity of the patient’s painful symptoms. It is not that you can give your doctor a checklist and he will be able to see if your adenomyosis is serious or not. The severity of adenomyosis depends not only on the test results but also on the symptoms. The severity of adenorrhea is determined by the degree of menstrual pain, i.e. whether the pain is tolerable or not, and if it is not, how many painkillers you need to take to relieve it. Or judge from the time of menstrual pain, for example, some people have menstrual pain only one or two days at the beginning, slowly four to five days, slowly 10 or so days…this is a symptom of aggravation. If the pain is so severe that it interferes with normal work and life, and if the pain is so severe that the person can only rest in bed, then it is already very serious. Judging from the amount of menstruation, the increase in menstruation is also a criterion used to determine the severity of adenomyosis, and the second most obvious feature of adenomyosis patients is the large amount of menstruation, in addition to painful menstruation. In milder cases, the menstrual flow is not very heavy and is not a cause for concern. However, some patients with adenomyosis have increased menstrual flow with snow clots and even mild, moderate, or severe anemia…moderate and severe are particularly severe. Judging from the size of the uterus Generally speaking, the size of the uterus does not indicate the severity of adenomyosis, but patients with adenomyosis with a uterus larger than 80mm will have more severe symptoms by and large. The larger the uterus, the worse the environment of the uterine cavity and the less chance of pregnancy. This is why adenomyosis patients who go to IVF are usually given leuprolide, etc., to shrink the uterus and improve the chances of pregnancy. The presence of these symptoms Some patients with more serious conditions may also have nausea and vomiting, anal cramps, back pain, leg pain, back pain, and back pain due to pressure, which can also be a way to determine the severity of adenomyosis. As long as one of these conditions is unbearable, it is recommended to undergo timely uterine preservation surgery, after which menstrual pain disappears, menstrual flow decreases, and the uterus returns to its normal size and shape. Nausea, vomiting, swelling…all these conditions will disappear. Normal work and life will be resumed.