Even if you are suffering from medicine, you don’t want to do surgery, we are more or less repulsed by surgery, or more afraid, in fact, drugs can solve the matter, naturally do not have to choose to operate, our doctors often think so. Adenomyosis is a difficult gynecological disease, the general drug treatment is like scratching the itch, can not control the continuous development of the disease, and surgery for some people can not accept, so the Manuel ring, a similar compromise of conservative treatment methods, by some patients favored. However, this treatment has both limitations and side effects, so some adenomyosis patients are full of concerns before they consider using it – “Is my condition suitable for the Mannorrhea ring?” , “Is the effect of the IUD significant?” In fact, for adenomyosis patients, the following 3 points should be noted The instructions for the use of the IUD clearly state that it has two indications, firstly, contraception and secondly, idiopathic menorrhagia (if the patient has excessive menstruation, the use of the IUD may reduce the menstrual flow to a certain extent). Therefore, it is not suitable for adenomyosis patients who want to have children in the short term. If the uterus of adenomyosis patients is too large and the uterine cavity is more than 9cm deep, it is not particularly suitable for the IUD to be used, and it is easy to dislodge the ring and move it down. The reason for ring dislodgement is that the uterine cavity is too large on the one hand, and the muscle wall of adenomyosis is very hard on the other hand, it is not as soft as a normal muscular organ, so the ring does not attach easily in between, so it is easy to be washed off when menstruating. Although the use of GnRH-a for 3 months prior to IUD placement seems to improve the efficacy, there is no conclusive evidence that it reduces deuteration and downward migration of the ring, and the value of ultrasound-guided IUD placement is worth exploring. Furthermore, a ring costs a thousand dollars, so if it doesn’t work at all, it’s a waste. 3. Whether or not you can tolerate the side effects of the IUD Each patient with adenomyosis has a different degree of suitability for the IUD, and the side effects that occur after the IUD are also different. In my daily consultations, I have encountered more patients’ reactions that their menstrual periods are not clean after IUD, which can seriously affect their normal life, and many of them are very distressed and often ask me if there is any solution to this problem. To be honest, there is no good solution for this situation, and patients can only adapt to it slowly. Some patients really can’t stand it and finally have to take it off. In addition, the IUD may cause amenorrhea. Yesterday, a patient with adenomyosis happened to mention this problem during her consultation with me, and she expressed great concern. In fact, there is no need to worry about it. This amenorrhea is only temporary, not permanent, and menstruation will return to normal after the IUD is removed in the future. Although the Mannorrhea ring is small, getting the ring is a very delicate matter, not just because the patient wants to get it, not because it will work. It is important to emphasize that the IUD is not a treatment for adenomyosis, but a relief of the symptoms, and is not a treatment for adenomyosis.