Patients inquiring about endometriosis and adenomyosis often have long medical histories and more complaints, but some patients describe their pain throughout but do not get the main points, and it is difficult for doctors to obtain critical information in a short period of time. Therefore, the following key questions are listed, all of which are clinical manifestations that are asked in the endometriosis clinic during the consultation and treatment process, and are very important for guiding treatment. 1. When the dysmenorrhea started: primary or secondary, primary means that the dysmenorrhea started from the first menstruation, secondary means that it was normal at the first menstruation but started to have dysmenorrhea after coming for a period of time. 2. Is there any progressive aggravation of pain: does it get worse than the previous one each time? 3.The relationship between dysmenorrhea and menstrual calendar: how many days does it last and what is the most painful day of menstruation? 4.Characteristics of dysmenorrhea: persistent or intermittent? Downward sensation? Dull pain or sharp pain? 5. The degree of dysmenorrhea: whether you can keep up with your daily work and study, whether you need to take painkillers, whether the painkillers are effective, and to what extent it affects your work, study and life. The doctor can make an objective grading of pain for the patient through the above description, which is helpful to guide the determination of the next treatment plan. 6, whether there are the following accompanying symptoms during menstruation: thin stool, or many patients have constipation during non-menstrual period, once the menstrual period, whether there is a feeling of urgency, that is, there is always a feeling of wanting to go to the stool, but there is no substantial defecation, whether there is a feeling of anal swelling, painful defecation, blood in the stool, etc., whether there is deep intercourse pain, chronic pelvic pain (pain outside of menstruation), the above symptoms are helpful for doctors to determine whether the patient The above symptoms are helpful for doctors to determine whether the patient has combined deep infiltrative endometriosis and the severity of endometriosis. 7. The patient’s fertility and contraceptive status: What are the future fertility requirements and intentions? Finally, I would like to tell the majority of patients that the diagnosis of endometriosis and adenomyosis is largely based on vaginal examination and triple examination by the doctor’s hands to confirm the diagnosis, simple vaginal examination often misses the discovery of many lesions, and triple examination must be done. Sometimes patients may praise some doctors for being “light-handed” and not touching them during the examination, which is not necessarily a “good thing” for patients with endometriosis. In addition, the diagnosis of endometriosis requires special reliance on expensive and large instruments, such as MRI and CT, and there is no substitute for a gynecological examination performed by an experienced physician with his or her hands.