Adenomyosis is a common reproductive tract disorder in women of childbearing age. It manifests clinically as excessive menstruation, dysmenorrhea and infertility. Dysmenorrhea is characterized by a progressive increase in menstrual pain, i.e., it worsens over time and seriously affects a woman’s physical and mental health. Infertility is also a torment to women who are eager to have children. Since the cause of adenomyosis is not clear, there are many treatment methods, which can be chosen according to the patient’s clinical symptoms, age, fertility requirements and the location and extent of the lesion. Radical method: Hysterectomy is the radical method for adenomyosis, which can completely relieve dysmenorrhea and excessive menstrual flow. This method is suitable for patients who are older, have no fertility requirements, have heavy dysmenorrhea, heavy menstrual flow or where conservative treatment is ineffective, by open, laparoscopic and transvaginal routes. Open surgery is a traditional classical method with reliable but traumatic results, while laparoscopic and transvaginal surgery are also reliable and minimally invasive, and have become the mainstream surgical methods at present. However, hysterectomy is clearly inappropriate for young patients who wish to preserve the uterus or retain their reproductive function. Conservative treatment methods: Conservative treatment, i.e., preservation of the uterus, is suitable for patients who are young and wish to preserve the uterus or even wish to have children. Since the uterus is preserved, there is, of course, a risk of recurrence. Specific methods include the following: 1. Drug treatment: Dysmenorrhea is not serious and does not affect daily life can choose non-steroidal painkillers (anti-inflammatory pain, etc.), these drugs are only pain relief, no therapeutic effect on adenomyosis itself. For patients with heavy dysmenorrhea and heavy menstruation, GnRH-a drugs can be injected, which are effective in some patients and will recur if the drug is discontinued, and the drug cannot be used for more than 6 months due to the adverse effects of osteoporosis. 2. Placement of the Manned Ring: For patients whose uterus is not particularly large (e.g. less than 7 weeks of pregnancy), the Manned Ring can also be placed. The ring contains levonorgestrel, a highly effective progestin, which slowly releases this drug and acts locally on the uterus for 5 years, relieving dysmenorrhea and increased menstrual flow. However, for those with large size or combined with submucosal myoma or irregular shape of uterine cavity, the ring may be easily displaced and affect the efficacy. 3. Injecting GnRH-a drugs + placing the Manned Ring: For those who have a large uterus, such as those who are more than 7 weeks pregnant, we can try to inject GnRH-a drugs to shrink the uterus first, and then place the Manned Ring. This method can be tried for those with effective GnRH-a drugs. 4. Laparoscopic uterine artery block + adenomyosis lesion excision: This method uses the minimally invasive advantage of laparoscopy to block the blood supply to the uterus, and then excise the adenomyosis lesion, or add sacral nerve block, or place the Mann Yueh-Le ring, which is a new type of minimally invasive uterus-preserving surgery available at present, and has been carried out in a few hospitals in China, showing reliable efficacy and low long-term recurrence rate, which is a very promising treatment method. 5. Non-invasive or minimally invasive treatment: including radiofrequency ablation, high-intensity ultrasound focused knife and interventional treatment, these methods have certain efficacy, but the long-term recurrence rate is high, and are still in the clinical research stage.