There is a group of people, a group of women, who have to go through “excruciating pain” every month, who have to go through “life and death” every month, who have to face pain, suffering and emotional breakdown every month… these women are These women are our adenomyosis patients. I know the pain of adenomyosis patients and have come across many typical cases. From the time they were diagnosed, to the time they sought medical treatment, to the time they were treated by me and given a new lease of life. Their pain is very similar, but their experiences are very different. In order to let more women know about adenomyosis, and to enlighten adenomyosis patients, I will share some impressive typical cases, hoping to help you, and hoping that my patients can find the right treatment for themselves as soon as possible, and to minimize unnecessary harm. The case we are going to focus on today is an adenomyosis patient from Dalian, Liaoning Province, 49 years old, preoperative uterus size: 84×87×76mm, she has been suffering from adenomyosis for 20 years, that is to say, when she was still a girl, she suffered from adenomyosis. Seeing this, are you not surprised: suffering from adenomyosis for 20 years, the uterus is only 80mm, uterus is not big ah, and it grows not fast either. Why is this? There is no need to be surprised, because she had 48 injections of leuprolide-type injections during these 20 years, and she also had a laparoscopic adenomyoma removal. I often use the analogy of a dried up orange and a fresh orange to compare a uterus that has had shots to one that hasn’t. A uterus that has had injections shrinks in size, and she had had so many years of continuous injections that her uterus was naturally not too large. She once recounted that she had unprovoked dysmenorrhea 20 years ago and was diagnosed with adenomyosis in the hospital. 15 years ago, her dysmenorrhea worsened, and she was given mafenac tablets in the hospital, but the pain was not relieved. 10 years ago, she was given diclofenac sodium tablets in a hospital in Dalian, and the pain was relieved. Later, because of infertility, she went to a hospital in Beijing for laparoscopic adenomyoma removal and hysteroscopic exploration, after which she was given intramuscular daphylline injections for 2 years, 6 injections per year, totaling 12 injections. Later still, an IVF attempt to have a child failed. After the failure, she again intramuscular injection of Dafirin for 3 years, or 6 injections per year, a total of 18 injections, the pain still did not see significant improvement 10 years ago when the amount of menstrual flow increased by 1 times sanitary napkins from the original 40 tablets to increase the number of 50 tablets, the menstrual period is extended to 10 days. 6 years ago, once again to the Dalian hospital, the hospital doctors in Dalian, still recommended that she, intramuscular injection of Leuprorelin injection 3 injections per year + 4 boxes of mifepristone, and then continuously for 6 years to A year ago to stop the drug, after stopping the drug appeared abnormal uterine bleeding, and even found me when, still bleeding, last month 25th, did the uterus preservation surgery. During the operation, we found that her condition was complicated, because she had done laparoscopic removal of adenomyoma, coupled with IVF, so her pelvic adhesions were particularly serious, bilateral fallopian tubes are fluid-filled, bilateral chocolate cysts, the posterior wall of the uterus and rectum are adhesions, we separated the adhesions, given to weed out the adenomyosis lesions, and did the resection of one side of the fallopian tubes (the side with the serious fluid-filled). The chocolate cysts were stripped away and the anatomical shape of the uterus was restored. It took an hour longer than other adenomyosis to successfully complete the surgery and successfully removed all the lesions. Her surgery was difficult not only because she had particularly bad adhesions, but also because she had 48 shots of leucovorin, dafilgrin, which is like when you eat an orange and peel it, and if it’s dry, you can’t get the peel off very well. Telling her experience, I hope to make those patients who are confused and don’t know where the road ahead is can be more alert, less detour, don’t go down one road to the black. In the choice of treatment should be fully understand clearly before deciding, for example, the doctor said that you should take injections, leuprolide, dafilgrin, then you first need to ask the doctor what the purpose of the injections? If it is just to relieve menstrual cramps, then can I do it in a different way, choosing to take painkillers is better. Or, in order to get pregnant, the doctor said you can take the injection to shrink your uterus and then have a better chance of getting pregnant, which is something to consider. If it’s just for adenomyosis, you’d have to ask your doctor if this adenomyosis can be completely cured after the shots and no menstrual cramps at all. If it can’t (and in fact only provides relief), naturally, you can’t have the shot. These are the things to find out. Don’t worry about feeling that your doctor will get annoyed with you. Most doctors are still very patient.