”I am already 48 years old, adenomyosis endure until menopause”, “I am already 52 years old, my menstrual flow is still particularly heavy, is it still necessary to preserve the uterus”. In clinical work, there are often some patients who have such questions, thinking that they are already old and not far from menopause, and that although adenomyosis makes them have severe pain every month, they still want to continue to endure it until menopause. There are also some patients who feel that they don’t plan to have children either, so they can simply have their uterus removed and never have any problems. In fact, it is necessary to preserve the uterus no matter how old you are. First of all, the age of menopause in China is usually between 45 and 55 years old, and from clinical experience, adenomyosis patients are a little more estrogen rich and their age of menopause is a little later than the average woman. If you are 48 years old and you want to endure menopause because you don’t know when you will be menopausal, if you are menopausal at 55, then you will have to endure for 7 or 8 years. That’s not a short time at all. In addition, there are some women who do not have the need to have children anymore and feel that the pain of adenomyosis is unbearable, so it does not matter if the hysterectomy is done. In fact, hysterectomy can do more harm than good. The uterus, as an important female organ, has endocrine and immune functions in addition to its reproductive duties. In addition to providing 50%-70% of the blood supply to both ovaries to maintain the function of the ovaries, the uterus itself also secretes many hormones and participates in the endocrine function of women. It also plays a role in maintaining the immune function of the whole body. In addition, the uterus also plays a role in pelvic floor support. The uterus is located between the bladder and rectum in the pelvic floor and is a support for the internal organs, bladder and rectum, maintaining the normal position of the organs in the pelvic cavity. Is it still necessary to preserve the uterus when you are almost menopausal and have adenomyosis? So, whether you put up with it until menopause or have your uterus removed, it is not the best way to go. A patient who just had surgery a few days ago is 51 years old and still comes in for uterine preservation. She had secondary dysmenorrhea with anal swelling for 5 years, with progressive worsening for 2 years. She reported: 2 years ago, due to lower abdominal pain, anal swelling aggravated, discomfort prolonged to a week after menstruation, so to the hospital for examination, suspected kidney stones, given intramuscular pain injection, later to the Hefei hospital examination showed pelvic effusion, given anti-inflammatory treatment, symptoms relief. 3 months later recurrence, to the hospital to detect adenomyosis, given oral dispersion analgesic capsule, Gui Zhi Fu Ling Wan, intermittent oral for six months, symptoms slightly relieved. One year ago, she went to the hospital for examination because the anal swelling was aggravated again, suggesting that the uterus was fixed in the posterior curvature, with very poor mobility, and hard nodules could be palpated on the posterior wall of the uterus.