When the endometrium invades the myometrium, it is called adenomyosis, which mostly occurs in menstruating mothers aged 30-50. About 15% of patients are combined with endometriosis and about 50% with fibroids. The main symptoms are excessive menstrual flow, prolonged menstrual period, and progressive dysmenorrhea, which is often aggravated gradually, and the pain is located in the middle of the lower abdomen, often starting one week before menstruation until the end of menstruation. The uterus is enlarged, hard and painful, and the pain is worse during menstruation. Asymptomatic cases are not easily distinguished from uterine fibroids. The treatment should depend on the patient’s symptoms, age and fertility requirements: 1.Patients with mild symptoms, fertility requirements and near menstruation – drug therapy is the main treatment: Danazol, progesterone (Nemeton), GnRH-a drugs (Dalfilene, Norelide, Suppressant) can be used. Can relieve the symptoms, but not the root cause. 2, young or to have children – laparoscopic lesion excavation. 3.Severe symptoms; no fertility requirements or drug therapy is ineffective – total salpingo-oophorectomy. Whether to preserve the ovaries should depend on whether the ovaries have disease. 4.If re-pregnancy is required. Laparoscopic anterior sacral nerve or uterosacral ligament resection can also be used to treat dysmenorrhea, with an effect of about 80% pain loss or relief.