Adenomyosis is a disease of the uterus in the end how to get, why will get adenomyosis. In fact, doctors can not answer this point, there are many medical speculations about the cause of adenomyosis, but only these doctrines: implantation theory, implantation theory contains “reverse menstrual blood flow theory”, “lymphatic and venous spread”, “medical origin implantation”, the body cavity epithelialization theory, induction theory. “medical implantation”, epithelial chemotaxis in the body cavity, induction. Genetic, immune and validation factors, and even local microenvironmental factors. Summarizing my clinical experience over the years, I agree with the theory of medical implantation, that is to say: too many uterine operations, such as: scraping, abortion, planing… These operations will make the original integrity of the uterine lining injured, damaged, and more susceptible to adenomyosis. I have never thought that adenomyosis has hereditary properties, but I found out today that this possibility is still there. I’ve never thought adenomyosis was hereditary, but today I found out that it is. Today, I performed four or five surgeries to preserve the uterus, and the last two were performed on a mother and daughter from Huai’an, Jiangsu Province. The mother is 51 years old, and the daughter is 32 years old, and both of them are suffering from adenomyosis, so they both came here to be treated for adenomyosis. In fact, in addition to today’s mother and daughter, a few years ago, we also encountered two sisters suffering from adenomyosis, at the same time to the hospital surgery cases. The two sisters were from Jianyang City, Sichuan Province. The older sister was 45 years old and the younger sister was 43 years old. The older sister had a history of 15 years, and her uterus was 100mmx99mmx89mm before surgery, which was very large. The sister’s medical history was not short, 12 years, and her preoperative uterus was 91mmx78mmx83mm, which was also not small. Both sisters had very heavy menstrual periods and were anemic, with preoperative hematocrits of over 70 for one and over 80 for the other, and both required blood transfusions for several days before the surgery was performed. I had always thought that the two sisters were coincidental, but it was not until today that these two mothers and daughters appeared in my clinic. Therefore, from the patients who underwent the surgery, we can see that adenomyosis shows a certain family genetic predisposition. There is a certain genetic predisposition, but it doesn’t necessarily mean that if the mother suffers from adenomyosis, the daughter will also suffer from adenomyosis. It just means that if the patient has a daughter with adenomyosis, then the probability of the daughter’s first-degree relatives having adenomyosis will be a little bit higher when she grows up. And in the case of mothers and daughters who have adenomyosis, or sisters who have adenomyosis, it could be related to the fact that they live together, have similar experiences, or it could just be a coincidence…so it’s not something you have to worry about. If you are an adenomyosis patient and have a daughter with frequent menstrual cramps or long and heavy periods, it is always recommended that your daughter get married and have a baby early, even if it is through IVF. Why do you want to have a baby, that’s a safeguard for women with dysmenorrhea and future fertility, you know, it’s very, very difficult to get pregnant and have a baby with a diagnosis of adenomyosis. And be sure to educate your daughter more about women’s physical health and minimize unnecessary gynecological related surgeries for girls.