Fifty-year-old women with heavy menstrual flow should consider the manifestation of anovulatory dysfunction caused by ovarian endocrine dysfunction. It may also be caused by organic diseases of the uterus, such as uterine adenomyosis and fibroids, which may lead to a significant increase in menstrual flow. Therefore, after the occurrence of increased menstrual flow, we should go to the gynecology department of the hospital to rule out organic diseases of the uterine adnexa through ultrasound examination. If it is caused by a large fibroid, and the fibroid has exceeded five centimeters, it is necessary to consider surgery to remove the fibroid, and if necessary, consider direct surgery to remove the uterus together. However, if there is no organic disease in the uterus, it is considered to be caused by anovulatory dysfunctional hemorrhage, and corresponding treatment can be carried out to stop bleeding.