When is the best time to operate for adenomyosis? In fact, there is no good time to talk about surgery for a disease like adenomyosis. Surgery for adenomyosis is something that requires a different treatment plan depending on each person’s condition. The first thing you should do is to determine when it’s a good time to operate. My suggestion is that you can measure when to operate from the following aspects. 1, there are fertility needs For women who have children, my advice is to try to conceive first, generally women with fertility needs are relatively young patients, are in the early stages of adenomyosis. There is a high possibility of successful pregnancy, so relax and actively prepare for pregnancy. Of course, don’t be discouraged if you try to conceive several times without success. If you have been trying to conceive for a year and have never gotten pregnant, my advice is not to try to conceive again. Don’t be like a patient I met before who followed the advice of her local TCM practitioner (who thought she could get pregnant naturally) and kept trying for six years without getting pregnant. This delayed the pregnancy and delayed the condition. When she was unsuccessful, she took IVF immediately and went to a hospital with better IVF technology. Listen to your doctor. It is not easy for patients with adenomyosis to get pregnant. Once you get pregnant, it is recommended that you seek prompt guidance from your doctor for “fertility preservation”. During the whole pregnancy period, you should go to the hospital regularly for pregnancy check-ups according to the requirements of the “perinatal health care manual”, and if necessary, increase the number of check-ups according to the requirements of the treating doctor, and actively cooperate with the doctor’s treatment in case of problems. If you are unsuccessful in trying to conceive or in vitro, I suggest that you undergo a uterine preservation surgery to solve the adenomyosis problem and come to me for a uterine evaluation two years after the surgery to decide on the pregnancy. For patients who have no need for fertility and have symptoms, the sooner the better to do the uterine preservation surgery, why do you say so? The reason is that adenomyosis is a disease of the uterus in which the endometrial glands and mesenchyme invade the myometrium to form diffuse or limited lesions, and it is a progressive aggravating disease. In other words, the more adenomyosis is delayed, the more serious the symptoms of adenomyosis, early to take the uterus preservation surgery, early to get rid of the pain of adenomyosis disease. For patients in their 20s and 40s who have given birth to children and have obvious symptoms of adenomyosis, it is advisable to take uterine preservation surgery as early as possible to solve the pain of adenomyosis as soon as possible. For such patients over 50 years old, if the uterus is not too large and the symptoms are not too painful, they can be considered to be maintained until menopause without further surgery. The symptoms of adenomyosis will also basically disappear after menopause, so you can leave it alone and just need to review it regularly and observe it. If the uterus is very large and there are symptoms of pressure, it is recommended to consider surgery, which can be done to remove the uterus or to preserve the uterus. 4, related symptoms Most of the adenomyosis patients will have symptoms such as dysmenorrhea, heavy menstruation and anal cramping, but not all of the adenomyosis patients are in pain. Over the years, I have seen too many adenomyosis patients who are in pain and also many adenomyosis patients who do not have obvious symptoms. If your menstrual pain is not severe, your periods are not heavy, you do not have anemia, and your uterus is not very large, then there is no need for surgery or medication. Because it is certainly best if you can do without surgery. However, if adenomyosis causes you unbearable pain and seriously affects your normal life, then you can consider uterus-preserving surgical treatment. This condition means that the condition is also very serious and it is difficult to maintain with medication. If you have other questions about menstrual pain and adenomyosis, you can add attention to the “Deng Yuanqi” number, I will constantly update the knowledge about adenomyosis and recovery cases, your condition can also be private message or message consultation. If you have friends with adenomyosis, you can also recommend to pay attention to, together to gain more knowledge about adenomyosis, get rid of the disease as soon as possible.