According to the medical history data you provided, the analysis and suggestions are as follows: (1) Diagnosis: adenomyosis. Adenomyosis is a kind of endometriosis, and the typical clinical symptom is secondary progressive dysmenorrhea. The accuracy of B-ultrasound diagnosis is high. (2) Treatment: The treatment of adenomyosis is mainly based on symptoms, age and fertility requirements. (3) The traditional scheme can choose drug therapy (hormone) first, but the treatment experience tells us that the effect of drug therapy is often poor. (4) Surgical treatment: those with severe symptoms and ineffective drug treatment can choose surgical treatment; (5) Traditional surgery: open surgery or laparoscopic hysterectomy. The current trend is laparoscopic surgery. (6) for young people. If you want to preserve fertility, that is, the uterus, you can choose laparoscopic uterine artery occlusion+sacral nerve occlusion+pelvic exenteration. At your age, you can consider doing this operation, which has the advantages of preserving the uterus, relieving symptoms and low postoperative recurrence rate. For details, please visit the homepage of personal website and refer to relevant popular science articles or professional papers. Cheng Zhongping from the Department of Obstetrics and Gynecology, Shanghai Yangpu District Central Hospital has learned about your illness. Suggestion: Click here to refer to my article "Selection of treatment scheme for adenomyosis (adenomyoma)". Suggestion: Click here to refer to my article "Hormone therapy for hysteromyoma and endometriosis and its clinical evaluation". Your illness has been learned. Suggestion: Click here to refer to my article "Mechanism and advantages of laparoscopic uterine artery occlusion in the treatment of uterine fibroids"

Yangpu district central hospital-gynecology-chief physician cheng Zhongping