We all know that the two most torturing aspects of adenomyosis are menstrual cramps and heavy periods. I have talked about menstrual pain in my previous article, so I won’t go into it here. Today we will talk about heavy menstrual flow, which causes anemia. As a gynecologist, a doctor who specializes in adenomyosis preservation treatment, I have come into contact with a few patients with adenomyosis. The hematocrit is more than 5 or 6 points, so why is it so low? In fact, the main reason is anemia caused by heavy menstruation, and a lot of blood is lost after a single period. After taking blood supplements to replenish the blood, a menstrual period and back to the liberation, and so on, which leads to many adenomyosis patients have been in an anemic state General adult women hemoglobin concentration 110-150g / L, below 110g / L is anemia. That is anemia, the degree of anemia also depends on the value of hematocrit, if it is 100-120, this belongs to mild anemia, this is not a big problem, this time in the middle of surgery does not need blood transfusion. In addition, according to the degree of hemoglobin decrease, anemia is divided into 4 degrees: 90-110g/L is mild anemia, 60-90g/L is moderate anemia, 30-60g/L is severe anemia, and below 30g/L is very severe anemia. Our surgical standard takes 100 as the limit. If the anemia reaches 100, blood transfusion is not necessary; if it is lower than 100, the anemia is relatively strong, and if the anemia is strong, we should take some measures and give some blood replenishing drugs. How to replenish blood? Mild anemia: For patients with mild anemia, you should pay attention to a balanced intake of iron-rich foods such as liver, egg yolk and cereals. Next, eat more fresh vegetables. Many vegetables are rich in iron. Such as black fungus, purple cabbage, hairy vegetables, capers, black sesame, lotus root powder, etc.. Red dates are the most commonly used food to replenish blood, and are best eaten raw. Red dates can also be fried black in an iron pot and then soaked in water. And after fried red dates, by boiling water, the skin is cracked, and the nutrients inside will only slowly seep out. Red dates, peanuts, cinnamon, plus brown sugar, add water in the pot slowly stewed, stewed rotten, often eat, good effect of blood. You can also take some blood tonics, combined with blood tonic. Moderate anemia: For this type of patients, my suggestion is to not only rely on dietary supplementation, but also take blood tonic medicine. For example: ferrous sulfate tablets, plus vitamin C can help the absorption of iron, but also to help the production of hemoglobin, so the intake of vitamin C should also be sufficient. Severe anemia: For this type of patients, it is recommended to seek the help of a doctor directly at the hospital, where blood transfusion therapy is administered. It cannot be delayed all the time. Most patients with severe anemia will have symptoms of physical weakness and dizziness and headache, and some patients will also have tinnitus, pallor and difficulty in breathing. Severe anemia is also a symptom of more serious anemia, and if severe anemia occurs, it will lead to the phenomenon of significantly lower blood pressure, and patients with severe anemia may even induce sudden death if they are not well treated hazard, or may cause anemia, a symptom of severe shock, so it should be taken seriously. For patients with adenomyosis with moderate and severe anemia, my advice is to take blood supplements and operate as early as possible. If taking blood supplements are not working anymore. It is recommended to come directly to the hospital for blood transfusion and to have surgery as soon as the surgical criteria are met. For some patients who do not want blood transfusion, they can also use amenorrhea injection to let the hematocrit slowly return to normal. After the surgery. After the uterine-preserving surgery, the menstrual flow decreases, the menstrual pain disappears, and the uterus returns to its normal size. And the anemia will slowly improve until it returns to normal. There will be no more anemia due to adenomyosis.