Adenomyosis is a benign gynecological condition that occurs when the normal endometrium of the uterine cavity invades the myometrium and has a high incidence in women of childbearing age. Adenomyosis can have different symptoms depending on the type and severity of the disease, with some people having no obvious symptoms, while others have more severe symptoms. Usually, the symptoms of adenomyosis appear mostly in patients aged 40-50, but in recent years they tend to be younger, with the main manifestations being: 1. Menstrual disorders: the main manifestations are increased menstruation and prolonged periods, usually in patients with severe adenomyosis. Excessive blood loss sometimes leads to anemia, which is manifested by weakness and dizziness and other discomforts. 2. Dysmenorrhea: It is characterized by progressive aggravation of dysmenorrhea, which worsens with the progress of the disease. 3, chronic pelvic pain 4, painful intercourse 5, urinary frequency and urgency (bladder compression) 6, infertility or difficulty in getting pregnant Signs: During gynecological examination, the uterus of patients with adenomyosis is enlarged and spherical, hard in texture, and may have pressure and pain, and the pressure and pain is especially pronounced during menstruation. In a few patients, the surface of the uterus is irregular, which may be caused by a limited type of adenomyoma or a combined smooth muscle tumor of the uterus.