Adenomyosis has been unclean menstruation is due to the endometrium ectopic to the myometrium, causing the uterus to increase in size, while the endometrium is also increasing in size, and the source of menstrual blood is the endometrium shedding, the larger the endometrium area, the bleeding volume and bleeding time will be extended accordingly, which is a common symptom of adenomyosis patients. Uncontrolled bleeding can lead to the development of anemia and patients are advised to treat it actively. For patients with no reproductive requirements and near menopause, oral contraceptives or progestins can be taken to molify and atrophy the ectopic endometrium, which can play a role in controlling the development of adenomyosis. For patients with heavy menstruation and dysmenorrhea who have no requirement for childbirth for the time being, intrauterine devices containing highly effective progestin, such as levonorgestrel IUDs, can be placed, which need to be removed or replaced after five years. In addition, microwave ablation treatment can be performed to remove the focal tissue by thermal coagulation to reduce dysmenorrhea and 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.