First, to correct a misconception, not all patients bleed, nor do most patients bleed, but only a small percentage of patients bleed. So why is it that on the website, all you see are complaints and grievances about bleeding? I would like to say that only patients with abnormal bleeding will keep seeking help in many ways, while the majority of patients who do not bleed, they, have recovered, no more pain, no more bleeding, rejuvenated, returned to a good family life, started a favorite career, they, are very busy, and if they are not my treated patients, they will not find it by all means to tell me that she has used Mannorrhea and the results have been very good. Many more, unknown to me, come from all over the world, who, are cases of unsatisfactory treatment. So, do not understand that every patient will have abnormal bleeding. Irregular bleeding and spotting (meaning a small amount of bleeding that does not require the use of sanitary napkins) after the placement of Mannorrhea is a common problem with progestogen-only drug treatment methods. Due to the lack of estrogen’s repairing effect on the endometrium, these types of side effects are more common and can last longer. Since the bleeding is minimal and does not lead to anemia, no special treatment is usually required. Moreover, there is no recognized effective method to counteract the treatment of bleeding. In my clinical experience, proper placement of the Mannorrhea ring plays an important role in reducing bleeding, and it is not uncommon for the transverse arm of the ring to become embedded in the endometrium or the myometrium if it is not placed properly, which is also the cause of abnormal bleeding. The placement device of the Mannorrhea ring is different from the normal IUD devices that have been used for many years. The doctor who places the device needs to be specially trained and have some practical experience in order to ensure the correct placement of the Mannorrhea. Another lesson learned is that before placing the device, one must talk to the patient adequately and give a full account of any abnormal bleeding that may occur after placement, telling the patient that a small amount of bleeding is normal and will not cause anemia. Giving the patient hope and expectation, telling them that most people will get better naturally after a few months are good ways to increase acceptability and improve the renewal rate. Just like, we do surgery every day and the patient will be uncomfortable when she does not vent after surgery, but if the doctor tells her before this that every post-operative patient will have this discomfort and will soon vent after activity and a small amount of fluid stimulation, then no patient will keep complaining to the doctors and nurses because of this small problem and it will no longer be a problem. Therefore, being well informed and giving hope and expectation is an indispensable part of the treatment process. For a subset of patients with very serious ideological concerns and an urgent need for treatment, the applicable protocols recommended by the WHO can be consulted: 1. Low-dose combination oral contraceptives. 2. A small amount of estrogen for endometrial repair treatment. It is important to emphasize that studies have confirmed that there are no very proven countermeasures, including hemostatic drugs, vitamin E, and progestins. In particular, progestin supplementation should not be taken lightly, as the Manned Ring itself already releases a dose of progestin locally in the endometrium and more supplementation has no significant effect on bleeding. Other treatment protocols commonly used clinically and frequently used by many doctors for dysfunctional uterine bleeding are also not particularly suitable to cope with bleeding caused by the Mannorrhea, and in some cases, not only do not help, but also lead to massive bleeding, which in turn leads to the dislodgement of the ring, or forced removal of the ring and eventual treatment failure. The above, are things that need to be very clear to the clinician and done poorly can be counterproductive and not really help the patient.