Is it necessary to remove the uterus to treat adenomyoma? The treatment of adenomyoma or adenomyosis should be individualized and humanized, and not all patients should be treated with one treatment method, hysterectomy. Commonly used treatment methods are: 1. Drug therapy: commonly used in the initial treatment of patients with adenomyoma or adenomyosis, i.e. patients who have not been treated before and those with relatively mild disease as well as those who prevent recurrence after surgery, such as compounded short-acting oral contraceptives, gonadotropin-releasing hormone agonists such as dalfin and suppressant, low-dose mifepristone, danazol, high-efficiency progestins, aromatase inhibitors such as letrozole and Chinese herbs that activate blood circulation and resolve blood stasis. For patients with mild lesions, the application of compounded short-acting oral contraceptives can reduce menstrual flow and relieve pain, with safe and economic side effects. Efficient progestin, aromatase inhibitors such as letrozole and herbal medicines that activate blood circulation and resolve blood stasis have certain therapeutic effects. 2, the drug ring such as the Manned Ring: essentially a special form of drug therapy, for patients with adenomyosis and adenomyoma without fertility requirements, the Manned Ring is placed in the uterine cavity, because the ring can continuously release a progestin-like drug, can treat adenomyosis and adenomyoma, reduce the volume of menstruation, relieve dysmenorrhea, economical and practical, need to be replaced after 5 years, the disadvantage is that not all people are effective, the efficiency rate of 80%, some people may experience episodes of pain. Some people may have irregular vaginal bleeding after the IUD, and the IUD can be removed and invalidated. 3, local excavation of adenomyoma and then with drug therapy: In fact, the efficiency of adenomyosis on drug therapy is higher than adenomyoma, large adenomyoma often poor effect on drug therapy, adenomyoma type surgery local excavation and then drug therapy, is currently the more suitable treatment for young patients or patients who require preservation of the uterus. Of course, there is a possibility of recurrence after surgery, but there are also patients who do not recur for many years and often provide opportunities and conditions for women who intend to become pregnant. 4. Endometrial removal or radiofrequency ablation: This can be used to treat patients who have given birth and no longer have the requirement to have children, especially if accompanied by excessive menstrual flow. If hysteroscopic hot ball treatment, the treatment depth reaches the muscle layer about 6 mm, the endometrial function is destroyed, often no menstruation or menstruation becomes less after the operation, radiofrequency ablation technology dissolves off adenomyoma often can also play a certain therapeutic role. There is still recurrence and the uterus may need to be removed later. 5.Uterine artery interventional embolization: It is controversial for the treatment of symptomatic adenomyoma. It can be considered for symptomatic patients with serious comorbidities not suitable for surgery or drug treatment. The recent efficacy has been reported to be definite, but the long-term results are unsatisfactory. 6, hysterectomy: It is the most thorough treatment for the disease and is often used to treat patients with poor drug therapy, severe symptoms and no fertility requirements. It is common to have total hysterectomy and subtotal hysterectomy, etc. How to prevent adenomyoma or adenomyosis? Avoid repeated scraping, abortion and other cases that damage the endometrium, arrange some uterine operations such as IUD removal, fluorescence imaging, etc. within 3-7 days after menstruation, pay attention to menstrual hygiene, do not have intercourse or exercise strenuously during menstruation, avoid endometrial penetration as much as possible during myoma removal surgery, avoid uterine cavity infection, etc.