Today a patient asked me on WeChat, saying, “Doctor, I am 55 years old and I have had adenomyoma for 7 or 8 years. Now I have been menopausal for 10 months, no pain and no reaction after menopause, but I wonder if the adenomyoma can disappear naturally without surgery? Will it grow into some kind of malignant tumor or something? The ultrasound report is described as follows: “The uterus is posteriorly located, about 98*58cm in size, with irregular morphology, visible borders, slightly enhanced and thickened parenchymal echogenicity, and heterogeneous distribution, with a hypoechoic area of about 50*50cm in size visible in the posterior wall of the uterus, with inhomogeneous internal echogenicity, and no abnormalities in the uterine cavity. Professor Deng, can you tell me what I should do? Thank you, thank you! For menopausal women who are close to menopause, adenomyoma (adenomyoma and adenomyosis are actually one kind of disease, but adenomyoma is a limited growth, into a nearly spherical shape, but the boundary is not clear, adenomyosis is diffuse distribution, also the boundary is not clear) and the uterus is less than the size of 3 months of pregnancy, without excessive menstruation or pressure symptoms can not give any treatment, only need to review once every 3 to 6 months. Wait for the lesion to shrink after menopause. After menopause, with the decrease of estrogen secretion, adenomyoma will gradually shrink without the stimulation of estrogen. However, women with adenomyoma tend to have late menopause, so treatment should be considered if the fibroids continue to increase in size or have other symptoms during the observation period. If you are still far from menopause, have painful periods and heavy periods but do not want to have surgery, the best way to treat adenomyosis and adenomyoma is to take medication to maintain it, or to get the Manned Ring. Both of these methods have the advantage of being convenient and quick. However, the medication can only relieve the symptoms, which means that the pain can be relieved for a period of time, but once the medication is not taken, the pain will come back. Some patients may become resistant to the medication, and it may work at first, but later the pain will not be relieved even after taking the medication. If the uterus is too big, it is not recommended to use it as it will easily fall off. If the uterus is too large, it is not recommended to use it, as it may fall off easily. Moreover, we have to try it to know whether it can work after the IUD. Some patients may have incomplete menstrual dripping and fattening …… after IUD. In fact, I suggest that patients with adenomyosis adenomyoma should preferably undergo uterine preservation U + surgery to solve all the problems on the uterus and all the lesions at once. The “culprit” that causes the symptoms of the disease will be removed and the menstrual pain will disappear and the menstrual flow will be reduced, but the uterus will be preserved, preserving the unique female organ. The procedure is an open surgery with small incisions to completely remove the diseased tissue from the uterus. U+ is a special surgical treatment for adenomyosis patients that preserves the uterus and eliminates the pain of adenomyosis, based on the open excavation and removal of the lesions. After the operation, the uterus and cavity return to normal size, the patient can have menstruation, most of the menstrual flow is reduced, anemia is corrected, and the pain is relieved.