Patient: Long menstrual period, heavy bleeding, severe menstrual pain, severe anemia, and three untreated fibroids less than 1cm in the cervix as detected by laboratory tests. I would like to have the high intensity focused ultrasound knife and Manuel, preferably at the earliest possible time, as I will be returning to Guangzhou from abroad on October 1 and will not be staying for long. Thank you. The main reason for this is that it is not easy to find out what is going on in the abdomen, but the vaginal ultrasound can detect it. Pay attention to exclude the cervical glandular cysts caused by chronic cervicitis or called nasal cysts. The relationship between small cervical fibroids and dysmenorrhea and increased menstrual flow may not be significant, and dysmenorrhea may be caused by poor discharge of menstrual blood due to compression of cervical fibroids. 3. In case of heavy menstrual flow and obvious dysmenorrhea, excluding malignant endometrial lesions, we may consider firstly to observe on Manometrics to reduce menstrual flow and correct anemia, which can partially relieve dysmenorrhea symptoms. 4. Cervical fibroids are difficult to treat with transabdominal non-invasive high-intensity focused ultrasound because of the deeper site, and the effect is better in the body of the uterus. Patient: I want to go to Guangzhou Red Cross Hospital to get your number after I return to China, is that hospital at 396 Tongfu Middle Road? Do you see me every day or every Wednesday? Can I have surgery on the same day of examination? I want to have a full examination of my uterus. Also, does Manuel have to be done during the late menstrual period? Also, I had an IUD in 2006, can I have it removed at the same time? Thank you! Zhong Shaotao, Department of Obstetrics and Gynecology, Guangzhou Red Cross Hospital: Yes, it is 396 Tongfu Middle Road, the Red Cross Hospital has a history of more than 100 years since its establishment in 1904. For the time being, the clinic is out every Wednesday afternoon, if you need, you can go directly to the inpatient ward to find me. Before the operation, we have to do relevant examinations, such as routine white belt, routine blood, ultrasound and other examinations to exclude any reproductive tract infections and to understand the uterine condition.