Patients with adenomyosis have a small number of comorbidities with endometriosis, so-called chocolate cysts, choco cysts, which are foci of endometrial cells that run outside of the uterus and develop, commonly in the ovaries, as well as in the ligaments that hold the uterus in place, and also in the structures that are in the area between the rectum and the uterus, and which often lead to painful menstruation in the patient. Patients in this category are difficult to intervene in when there is a combination of adenomyosis, since both diseases manifest as dysmenorrhea. It is precisely because of the complexity of the symptoms in this group of patients that interventional therapy may not be effective in this group of patients. After many years of research and observation, we believe that these patients can still be treated with interventional therapy, but it is necessary to very carefully select the right patients for interventional therapy, and the following aspects are key: 1) past medical history; 2) symptom identification; 3) ultrasonography, especially magnetic resonance imaging, provides the most important information; and 4) necessary gynecological examination. The above 4 steps are the key to patient selection. Based on our observations over the years, such patients can still benefit from interventional therapy.