In the treatment of adenomyosis, surgery is not mandatory, it is also possible without surgery, but this situation depends on the specific situation of each patient. In the treatment of adenomyosis, there is conservative medication or surgery. When adenomyosis develops at a certain stage, there will be heavy menstruation, significant menstrual pain or pressure symptoms, conservative medication can be given temporarily, such as the application of GnRHa drugs, to further temporarily stop the development of adenomyosis, so that the uterus will be reduced, menstrual flow will be reduced, or menstrual pain will be relief. After treatment, if the above-mentioned conditions are not relieved, if the dysmenorrhea significantly affects the quality of life, if the menstrual flow increases significantly, if the anemia worsens, and if conventional conservative treatment is not effective, surgery is preferable.