Patient: Description of condition (onset time, main symptoms, hospital visited, etc.): Adenomyoma was diagnosed in 2006, when the uterine internal diameter was 5.6*4.6, and there was a tumor behind the size of 3.0*2.0, the symptoms were manifested in increased menstrual volume, menstrual pain, slowly developing, elongated period time, severe menstrual pain, 3-7 days of pain per period, need to use pain suppositories to relieve pain, affecting work. I am in Wuhan, the hospital: Wuhan City Hospital of Traditional Chinese Medicine, Wuhan Tongji Hospital. I have been taking traditional Chinese medicine for two years and proprietary Chinese medicine for six months. I hope to do the surgery while preserving the uterus. Many doctors, including the famous professor of Tongji Hospital, said there is no need for surgery, take medicine to relieve the symptoms and finally remove the uterus. Some doctors also said that it is possible to do a stripping operation and to treat with injections for menopause 4-6 times after the operation. In a recent checkup, the ultrasound conclusion given to me by Hubei Cancer Hospital was posterior uterine wall fibroid. Can you tell me if I can undergo surgery while preserving my uterus? Can I have laparoscopic surgery? Or are there other better procedures that are less invasive and have better treatment results? Dr. Song Tao: Hello, you have the following options: 1. Total hysterectomy: You can undergo laparoscopic total hysterectomy, which has the advantage of being thorough, leaving no after-effects and no possibility of recurrence. The disadvantage is that you are still young, and the vagina will be shortened after excision, which will have a certain impact on your sex life after surgery. 2. Subtotal hysterectomy: laparoscopic removal of the tumor-bearing uterus and preservation of the cervix. Advantages: the cervix can be preserved and sexual life is less affected; Disadvantages: the cervix can be lesioned again later. 3, laparoscopic adenomyoma removal: I personally do not agree with this type of surgery. Because adenomyoma is not uterine fibroids, there is no way to dig clean, the lesion is diffuse, that is, you still have adenomyosis after surgery, only to do away with part of it, and what is the point? 4, conservative treatment: such as oral medication (progesterone, scattered analgesic capsules, etc.), put the Mann Yuehle birth control device also has a good effect.