Endometriosis and adenomyosis can be said to be one disease. However, they are not exactly the same. Endometriosis encompasses a wider range of conditions, including coeliac disease, adenomyosis, adenomyoma… When it comes to endometriosis, we should first clarify what endometrium is. The endometrium is usually located in the uterine cavity and is regulated by the body’s estrogen and progesterone, and grows and peels off in a cyclic manner, which also constitutes a woman’s monthly menstrual flow. At the same time, the endometrium is also the soil where the embryo of a woman’s pregnancy is planted and grows. However, when these tissues of the endometrium, including the glands and mesenchyme, appear outside the uterine cavity, the disease is called endometriosis, or endometriosis for short. When endometriosis reaches the myometrium, adenomyosis adenomyoma is formed; when it reaches the ovaries, it is a coarctation, cyst, or even ectopic to the fallopian tubes, cervix, vulva, appendix, umbilicus, abdominal wall incision, bladder, lymph nodes, and even pleura and pericardium, upper limbs, thighs, etc., and the related sites are very extensive. It can be said that the focal tissue may be ectopic to every part of the body. Hearing this, do you think this disease is so complicated, do not know how to do it, in fact, do not worry. Generally speaking, if you don’t have any discomfort, you don’t need to be checked for adenomyosis and endometriosis. Only when you have symptoms, for example, menstrual pain, chronic pelvic pain, abnormal menstruation and infertility, painful intercourse… you need to go to the hospital for examination. The treatment will be carried out in accordance with the different conditions and needs. The diagnosis of endometriosis and adenomyosis can be confirmed by 4 tests: 1. 2. Imaging tests such as ultrasound, CT and MR can also help. 3, blood sampling, serum CA125 test general mild endomyelitis, adenomyosis patients, CA125 will also be mildly elevated. If in more severe patients it will be elevated relatively obvious. 4, laparoscopy, laparoscopy is currently the best internationally recognized method, and it is also a means of treatment. It allows direct observation of the pelvic and abdominal cavities and can accurately find the location and extent of the lesion. How to treat endometriosis when it is detected The principles of endometriosis management are to remove the lesion, resolve the pain, improve and promote fertility, and reduce and avoid recurrence. A combination of options needs to be considered based on age, degree of symptoms, type of lesion, fertility expectations, and past treatment history. For patients with adenomyosis and other endometriosis, uterine conserving surgery can also be considered, which is a technique to treat adenomyosis while preserving the uterus. After the operation, normal work life will be resumed. The uterus of adenomyosis patients will be restored to normal size, the volume of menstruation will be reduced in patients with heavy menstruation after the operation, anemia will be corrected, dysmenorrhea will disappear, and fertility will be preserved.