”To confirm the diagnosis of adenomyosis, is it possible to do only ultrasound?” The answer is that in certain cases to diagnose adenomyosis, it is OK to check only the ultrasound, but the doctor asks for a diagnosis, and it is important to look and see, although this is a Chinese medicine saying, but it is also applicable in Western medicine. What does it mean? It means that during the consultation, not only should you check your lab report, observe your face, but also ask about your usual symptoms, and make a comprehensive judgment through all aspects of your situation. Patients who suffer from adenomyosis, especially those who have been ill for a long time, often have white lips and emaciated face. Some patients come to the clinic with moderate or severe anemia. They use up to 50 or 60 sanitary napkins during one period, and even if they take blood supplements, they can’t make up for it, because the blood pigment that was replenished during one period drops again, and so on and so forth, leading to emaciation and pallor of the patient. In addition to the specific symptoms of the patient, we should ask the patient if there is any progressive aggravation of dysmenorrhea, whether the menstrual volume is large, whether the period is prolonged, whether there is a feeling of anal swelling, whether there is a feeling of pressure … If necessary, we will also ask a detailed medical history. If necessary, a detailed medical history will be taken, such as: a history of several planarian deliveries, a history of uterine operations, including hysteroscopic surgery, abortion, scraping, etc., and a history of gynecological surgery, all of which can be key to the diagnosis of adenomyosis. Can ultrasound alone reveal adenomyosis? It is also possible to determine adenomyosis in the presence of obvious uterine enlargement, echogenic enhancement of the muscular layer, and uneven masses, unclear boundaries and other descriptive characters. Relatively speaking, ultrasound is convenient, inexpensive and easily repeatable, and is the preferred imaging modality for adenomyosis. That’s why, the test I always recommend to my patients is an ultrasound. Of course, in addition to ultrasound, patients with adenomyosis can also generally have MRI and CT examinations. ultrasound is similar in accuracy to MRI for the diagnosis of adenomyosis. MRI has been increasingly used for the diagnosis of adenomyosis, staging and continuous post-drug therapy due to its advantages of intuitive images, no operator dependence, multi-parametric multi-planar imaging, and rapid development of its own software and hardware. monitoring. The final diagnosis of adenomyosis depends on the pathological examination after surgery, which is the “gold standard” for the final diagnosis of adenomyosis, and that is why every time we do adenomyosis This is why every time we do adenomyosis surgery, the lesions are sent for pathological examination after the surgery. Similarly, if the patient has other lesions in combination. If the patient has other lesions, such as coarctation, endomysial polyp, etc., we will also send them for pathology after surgery.