Adenomyosis usually affects menstruating women between the ages of 30 and 50, but most of them are middle-aged women between the ages of 40 and 50, but there are also young women in their 30s and 20s who have adenomyosis, but they are in the minority. The main reason may be that middle-aged women are in a stressful social environment, coupled with hormonal changes are more likely to lead to adenomyosis, but of course, it may also be related to the increase in various uterine operations, such as middle-aged women will have more shaving, scraping, abortion and other uterine operations. What is the normal age for women to go through menopause? In fact, the specific age of menopause is very difficult to determine, mainly because it is related to a variety of factors such as the time of menarche, genetic factors, environmental factors, the number of births, personal physical factors have an impact, the time of menopause in women from 45 to 55 years old are within the normal range. Due to the improvement of living standards, the average age of menopause for women is now around 50 years old. Fifty years old is an awkward age for adenomyosis patients, why? Because at 50 years old, it is logically time for menopause, but often adenomyosis patients are late in menopause, some are still having their periods at 53 or 54 years old. So often these patients are more torn, torn about whether or not they should have surgery. If they don’t have surgery, they will be in pain all the time and suffer a lot from late menopause, but if they have surgery, they will feel traumatized and think that surgery is not necessary now. The first thing is to do is to do the surgery. For patients with adenomyosis who have a particularly large uterus, my advice is to have a uterus-conserving surgery. This kind of patients do not need to bother about surgery or not, why? This is because the uterus is very large patients are prone to compression symptoms, the increase in the uterus is prone to compression of the front and back of the bladder, rectum, ureter. These patients will have symptoms such as anal swelling, urgency, and frequent urination. Without surgery, even after menopause, these symptoms will still exist and will not disappear. So for this type of patients, so I recommend to have a uterine preservation surgery, and these symptoms will disappear after the surgery. Of course, some patients will ask, after the removal of the uterus of such patients is not also these symptoms, the answer is yes, but it is not recommended that people over 50 years old to cut the uterus again, because the hysterectomy will change the structure of the pelvic floor, there will be a series of situations, and are insisted to this age, there is no need to finally remove the uterus Second, take painkillers, birth control pills to maintain If the uterus is not too big, and more than 50 years old If you are not too big, and you are over 50 years old, you can also consider taking painkillers and contraceptives to maintain, which means symptomatic treatment, painkillers for menstrual pain, and blood supplements for anemia. In addition, we should pay attention to regular review. Of course, if you can’t stand it, surgery is also recommended. The so-called drug amenorrhea is the use of amenorrhea injections or amenorrhea pills to stop menstruation, so as to achieve the purpose of stopping pain and blood. This method is suitable for patients who want to have early menopause. However, some patients with adenomyosis who use amenorrhea drugs for a long time will suffer from sweating, insomnia and hair loss, which are still mild and can lead to osteoporosis in severe cases! With osteoporosis, patients tend to have low back pain, pain that spreads along the spine to both sides, pain that decreases when lying on the back or sitting, pain that increases when posteriorly stretched when upright or when standing or sitting for a long time, and pain that increases when bending, coughing, and straining to stool. Even serious cases can cause fractures. The most frustrating thing is that the calcium loss that causes this kind of osteoporosis is irreversible, and there is no way for the patient to make up the calcium through some calcium supplements. Reminder, the use of amenorrhea needle time, generally do not exceed six months. These ways, adenomyosis patients over 50 years old can choose according to their own personal situation, while for most patients in their 40s, my advice is to do the uterus preservation surgery as soon as possible, these patients still should not hope for menopause, because there is still a long time before menopause, so long the pain is unbearable for ordinary people. The use of drugs is also limited.