”I found out adenomyosis for 5 years, this year in February on the Mann Yue Le, March follow-up, it moved down, pushed it up, April follow-up, it moved down again, the doctor pushed it up again, now it moved down again, what should I do, and push the ring? What should I do if it moves down again after pushing? If the ring is removed, the painful menstruation after the removal is unbearable again!” In this patient’s case, my advice is to stop pushing the ring and suggest that you can just remove it. Because as you said, even if you push it up this time, there is no guarantee that it will not move down or even fall off next time. Repeated downward movement proves that you are no longer suitable to wear Manometrium. There are also some downward moving positions that are not suitable for pushing the ring. After IUD removal, if menstrual pain is too painful to bear, you can consider using painkillers first, such as: painkiller tablets, ibuprofen, indomethacin suppositories… Reasons for repeated downward movement of Mannemonite One, the most significant feature of adenomyosis is that the uterus gradually increases in size, and the uterine cavity also becomes larger. As we all know, Mannorrhea is placed into the uterine cavity, so the Mannorrhea ring is prone to downward movement and dislodgement. Secondly, the uterus tends to contract somewhat during menstruation, which also forces the ring to gradually move down. Most of the time, it is impossible to prevent your ring from moving down. Thirdly, the heavy menstrual flow can also bring the Manned Ring away from its original position, or even wash it off and fall off. Some patients may also exercise strenuously after getting the ring, and often have movements that increase abdominal pressure such as lifting heavy objects and coughing, which may cause the Manned Ring to move down. The Mannorrhea ring is now widely used clinically, and the contraceptive effect is fading, and it is more used because it contains progestin and acts locally to treat diseases, such as endometrial hyperplasia, polyps, heavy menstruation, and adenomyosis. Since it is a form of contraception for women, why do many doctors recommend the use of the Manned Ring in the treatment of adenomyosis? The reason is simple, because doctors generally believe that “the only way to treat adenomyosis is to have a hysterectomy”, and most adenomyosis patients are not willing to accept having their uterus removed. Most adenomyosis patients are not willing to accept having their uterus removed. Therefore, there is no choice but to recommend the use of Mannedol for temporary relief of symptoms. Which adenomyosis patients are suitable to wear the Mannedrol ring? Generally, I recommend that adenomyosis patients with a small uterus can try Mannedrol. If the uterus is already 8cm or more, Mannedrol is not recommended, because the uterus is large and the ring will fall off easily. It is also not recommended for those who have too much menstrual flow, as it is easy to wash off. As for the effect of Mann Yueh Le, we can only say that it varies from person to person, some of them can relieve menstrual pain, some can’t, and some may have dribbling, fatness, amenorrhea, menstrual disorder, etc. For adenomyosis patients who have been on without effect do not be discouraged, you have another way of treating adenomyosis to choose from, which is uterus-preserving surgery to dig out the lesion and solve your pain while preserving the uterus. Uterus-conserving surgery, which removes adenomyosis lesions from the patient’s myometrium while preserving the complete shape of the patient’s uterus, is different from simple uterine everything, and is a surgery that requires a high level of skill from the surgeon’s team, and is also very beneficial to adenomyosis patients. It not only relieves the patient’s pain, but also preserves the uterus, ovaries and other important organs. After the operation, normal work life is resumed without the need to take medication, injections, and upper man. It eliminates adenomyosis dysmenorrhea, reduces menstrual flow and does not affect the quality of the patient’s conjugal life.