”This year after the New Year began to be abnormal, come 25 days after stopping 7 days and then 10 days, the amount is very large, after the investigation is adenomyosis, in August when taking medicine for three months, September and October to menstruation is normal and no pain, the thickness of the endometrium from 0.7CM down to 0.2CM, but in October 30 to menstruation came 31 days, of which the 17th day in the middle of the night heavy bleeding (in front After eating ice-cream menstrual pain), from moderate anemia 80 to severe 58, the doctor wants me to be hospitalized for surgery, I refused, still want to try a few more months to see, this 21 days and then come, a few days ago blood check, anemia 70, rose a little, usually have eaten gum, but remembered that gum has a hemostatic effect, I do not know, can I eat such? Thank you.” “I can be considered a patient with severe adenomyosis, more than 10 years, eat Ursine n years, these two years feel more and more uncontrollable, a few months ago found anemia, hemoglobin only 86, was ready to four injections of Dafirin after the IUD, came back to see a lot of sisters who dropped the ring haemorrhage decided to take Vaisanine try. “ ”I’ve been suffering from adenomyosis for many years, and I usually take blood supplements, but I can’t make up for it, and I feel it’s getting worse once I have my period, what should I do?” Above are some adenomyosis patients consulted about anemia, anemia and supplementation up, in fact, these problems are widely present among patients with adenomyosis. Does this happen to you after suffering from adenomyosis? Heavy menstrual flow is one of the most obvious symptoms of adenomyosis. The main reason is that the endometrium invades the muscle layer of the uterus, which leads to a gradual increase in the size of the uterus, an increase in the area of the endometrium, and the shedding of more endometrium during menstruation, resulting in more menstruation. One reason is that the thickening of the myometrium makes the endometrium rich in blood supply, and with better nutrition, the endometrium grows thicker, and there is more bleeding during menstruation. The increased bleeding, coupled with the monthly bleeding, will lead to a situation where the hematocrit will drop again. So the cycle repeats itself, even if you make up for it, you can’t make up for it. What should I do to make up my hematocrit? If the menstrual flow is heavy, so heavy that you have moderate to severe anemia, my advice is to take blood supplements and have surgery as early as possible. If taking blood supplements are not working anymore. It is recommended to come directly to the hospital for blood transfusion and have surgery as soon as the surgical criteria are met. For some patients who do not want to have blood transfusion, they can only take amenorrhea injection and amenorrhea medicine to make their menstruation not come, and during this period, take blood replenishing medicine to let the hematocrit slowly return to normal, and then have surgery. The main reason why I keep emphasizing surgery immediately after the supplementation is that neither blood transfusion, nor taking amenorrhea pills, nor amenorrhea shots can completely solve the problem of adenomyosis anemia. After a blood transfusion, you get a period and go back to your old self. After taking amenorrhea pills or amenorrhea injections, without surgery, you will be anemic again even after your menstrual cycle returns. No more anemia due to adenomyosis after uterine preservation surgery After uterine preservation surgery, not only the problem of adenomyosis with painful menstruation and cramping will be solved, but also the problem of heavy menstruation will be solved and the menstrual flow will be reduced. Patients who are anemic will also gradually return to normal after the surgery with slow nutritional supplementation and the use of blood supplements. There is also no need to worry about the loss of hematocrit due to further menstruation. Of course, there are very few patients who do not have menstruation, one is, older patients, and these patients may have menopause just after the uterine preservation surgery. Some people ask if it is possible to skip the surgery because they are old and will be menopausal soon. Of course, this type of patient can delay until menopause and not be treated. However, it is afraid that this situation will occur, because the menopause of patients with this disease of adenomyosis is pushed back, the menstrual flow is not seen to be less, and the uterus is getting bigger, then it is still necessary to consider surgery. Secondly, the endometrium is destroyed, like the hospital did a case of patient surgery, intraoperative discovery, her endometrium has been completely destroyed, was destroyed because of the surgery done some time ago in the local hospital, patients like her after surgery is very likely not in the menstruation. However, it does not exclude the possibility of menstruation later on, as the uterus has a certain recovery period after the uterus preservation surgery, and it is likely that normal menstruation will be restored slowly, and it is the most important thing that no more menstrual pain is experienced after the uterus preservation surgery.