Common symptoms of adenomyosis include painful and heavy menstruation and prolonged periods… and the cause of these symptoms is ectopic growth of the endometrium. The ectopic growth of the endometrium, which originally covered the uterus, is deposited into the myometrium, causing the lesion. Adenomyosis is an estrogen-dependent disease. After menopause, the patient no longer has a menstrual cycle due to a decrease in estrogen production that stimulates endometrial growth, thus causing the endometrium to shrink and the symptoms to disappear. Although the symptoms disappear, it does not mean that the adenomyosis is cured. Generally speaking, the lesions that have formed in the myometrium are unlikely to disappear with menopause, and the basis of the lesions is still there, so it does not mean that the adenomyosis will disappear after menopause. For adenomyosis patients, the post-menopausal days are heaven on earth, as there is no pain, symptoms disappear and no treatment is needed. However, even during this period, adenomyosis patients cannot rest on their laurels. There are two reasons for this. First, some patients with adenomyosis have a large uterus during the menopausal period, like a pregnant woman. For such patients, even if they are menopausal, they still need to deal with the lesion because it will be too big and lead to affect the normal work of other organs. For example, it compresses the bladder and rectum, causing inconvenience to daily life. Usually patients with large uterus lying flat will feel a hard uterus in the lower abdomen. Secondly, we all know that adenomyosis also has a certain cancer rate (even after menopause). Some people say, “Isn’t the cancer rate very, very low? Yes, the cancer rate is very low, but you still have to pay attention to regular checkups and don’t ignore its existence. In the past years, there were fewer surgeries, so we always felt that cancer was far away from us. However, in the past few years, the number of uterine-preserving U surgeries has been increasing, and among the uterine-preserving surgeries we perform, 2 or 3 cases of adenomyosis cancer are found every year. Once adenomyosis becomes cancerous, the uterus and ovaries will have to be completely removed, and follow-up treatment such as radiotherapy and chemotherapy may be needed after the surgery, which will be life saving. One of the unfortunate patients whose cancer was detected by diagnostic scraping. Another person complained to me the other day: Professor Deng, my mother is 56 years old, she has adenomyosis and is already menopausal. Recently, she has been suffering a lot. She went to the hospital and now has two adenomyomas, and the doctor said that her uterus is almost three fists big. Do I still need to have surgery? My advice to her was, of course, to have surgery. Of course, there are people with uterus, the lesions are not very big, the uterus is not very big, and menopause, you can not do surgery. When a patient with adenomyosis is menopausal, do not relax, although the evil demon (dysmenorrhea) is gone. But the deadly beast of cancer may also attack suddenly. Therefore, the problem you face after menopause is to prevent malignant changes, and you should review ultrasound and CA125 once every six months. if, in the case of menopause, the uterus continues to increase significantly, or CA125 continues to rise, or if pain occurs without menstruation, or if dripping bleeding occurs, it is recommended to go to the hospital for a checkup.