Uterine adenomyosis menstruation has been unclean, is due to the endometrium ectopic to the myometrium, resulting in an increase in the size of the uterus, and at the same time the endometrium is also increasing in size, and the source of menstrual blood is the endometrium shedding, the larger the area of the endometrium, the bleeding volume and bleeding time will be extended accordingly, and it is a common symptom in patients with uterine adenomyosis. If the bleeding is not controlled, it can lead to anemia, and patients are advised to treat it actively. For patients with no reproductive requirement and near menopause, oral contraceptive pills or progesterone can be taken, which can cause the ectopic endometrium to metamorphose and atrophy, and play a role in controlling the development of adenomyosis. For those who have heavy menstrual flow, dysmenorrhea, and have no requirement for childbearing for the time being, they may choose to place intrauterine devices containing highly effective progestins, such as levonorgestrel intrauterine devices, which need to be removed or replaced after five years. In addition, microwave ablation can be performed to remove the lesion tissue through thermal coagulation to alleviate dysmenorrhea and reduce abnormal uterine bleeding. For those without fertility requirements and with extensive lesions, severe symptoms and ineffective conservative treatment, total hysterectomy is preferred to avoid residual lesions.