It is not alarming that the word most feared by patients with adenomyosis is the removal of the uterus. But it is also true that such words are commonplace in clinical practice and often ring in the ears of patients. We all know that hysterectomy is the most common gynecological procedure and is even a sign of maturity for gynecologists. It is also true that hysterectomy is the quickest and most effective treatment for adenomyosis, with immediate results. So the question has to be asked: Is hysterectomy the only treatment for adenomyosis? Is it possible to do without hysterectomy? What is the purpose of hysterectomy for adenomyosis? It is to save lives and relieve pain. Is adenomyosis life-threatening? Of course, there is no doubt about it. Because adenomyosis can become cancerous, but the onset is rare, it is a bit of a worry to remove the uterus for fear of cancer. Furthermore, uterine bleeding, which can be serious, can be life-threatening, and the longing for dawn in the dark of night highlights the importance of life. If the source of bleeding is controlled, is it necessary to remove the uterus? When menstrual cramps are so unbearable, so deadly, so unbearable that you can’t stand it, do you care about hysterectomy? But if there is a solution to menstrual pain, then why do we need to remove the uterus? Adenomyosis is a special form of endometriosis, a hormone-dependent disease, or endometriosis. It occurs mainly in the childbearing age and is becoming more and more frequent clinically, with an overwhelming upward trend. The three main symptoms that plague patients are: uterine bleeding, progressive dysmenorrhea, and infertility. Since we believe that adenomyosis is an endometrial lesion and a hormone-dependent disease, we can use hormonal drugs to change the endometrium by adjusting the endocrine secretion, and the uterine bleeding and dysmenorrhea that plague the patient can be solved. Whether it affects the growth of the lining or causes false pregnancy, a reduction in bleeding and dysmenorrhea will achieve the goal of treatment. A special contraceptive ring is now available, the well known Manometra, which can be used to treat the patient by slowing down the release of progesterone in the uterus. Of course, there are also interventions to block the blood flow to the lesion, and surgery to remove the lesion. Surgical removal of the uterus is a good, clean and complete treatment for adenomyosis. When we can use conservative treatment effectively, do not easily use such weapons as hysterectomy, so that the patient’s uterus will never return, there is no room for choice, leaving lifelong regrets. A clear blue sky is always better than a momentary haze, and a momentary haze can leave a lifetime of shadows, embrace the blue sky and be happy every day.