When a patient with uterine fibroids comes to the doctor with increased menstrual flow to anemia, the doctor often attributes the increased menstrual flow to fibroids, and after the usual therapies such as hemostasis, uterine curettage or even endocrine therapy are ineffective, the patient is often advised to undergo surgical treatment, including myomectomy, subtotal hysterectomy or total hysterectomy. This treatment ostensibly conforms to the first indication for surgery as stipulated in the 7th edition of the national university textbook “Obstetrics and Gynecology”: excessive menstruation to secondary anemia for which drug therapy is ineffective. When you see this, my question is: 1. Is fibroids the main cause of increased menstrual flow or even secondary anemia? 2. If not, would the corresponding medication be effective? 3, according to the drug treatment, once ineffective, will lead to the end of surgery, the consequences, the cost …… this article, do not want to discuss the typing of uterine fibroids, but the views of this article, may overturn the current gynecologists conventional treatment plan, may avoid many patients forced to surgical treatment. In my long-term clinical practice, I have found that because chronic pelvic inflammatory disease is widely present in women of childbearing age, women who come to the clinic with fibroids combined with menstrual irregularities basically suffer from chronic pelvic inflammatory disease, some even have painful intercourse, and when these patients are properly treated for pelvic inflammatory disease, their menstrual flow often decreases significantly or even returns to normal levels. Some of these patients with uterine fibroids combined with increased menstrual flow secondary to anemia ready for surgery, when their pelvic inflammatory disease was properly treated, their menstrual flow was reduced and they were thus exempted from surgical treatment. Conclusion: 1. Chronic pelvic inflammatory disease, especially endometritis, can lead to increased menstrual flow; 2. Chronic pelvic inflammatory disease combined with fibroids can lead to increased menstrual flow, of which increased menstrual flow due to menstrual disorders may be the main cause; 3. The diagnosis of chronic pelvic inflammatory disease can be easily missed if the level of diagnosis is improved. 5. When a patient with fibroids combined with heavy menstruation leading to secondary anemia comes to the clinic, do not ignore the presence of chronic pelvic inflammatory disease, and do not neglect proper treatment of this disease, which may involve a major issue of whether the patient will eventually go into the operating room; whether to operate or not involves the patient’s family’s economy, work, time, psychology, and even life. It is important to remember to be cautious.