**Abstract**

Patients with endometriosis and adenomyosis naturally improve after menopause. Therefore, some patients only need to relieve symptoms, especially those near menopause, and they prefer to be treated by conservative methods. We summarized several minimally invasive interventional methods: uterine artery intervention (Uterine artery embolization, UAE), nerve intervention (upper and lower abdominal plexus block, SHPB), ultrasound intervention (puncture sclerotherapy; high intensity focused ultrasound treatment).

**Keywords:** superior hypogastric plexus block, uterine artery embolization, ultrasound interventional

### **1. Introduction**

Adenomyosis and endometriosis are common gynecological diseases. Most of the patients are primipara aged 35–50 years old. About half of the patients have hysteromyoma at the same time. Clinical manifestations are dysmenorrhea, menstrual disorders, and enlargement of the uterine body. Secondary dysmenorrhea and Menorrhagia are the most typical symptoms of this disease [1].

The main symptom of endometriosis is progressive secondary dysmenorrhea which severely affects patient's quality of life. Menorrhagia caused by adenomyosis may lead to severe anemia in some patients. The treatment is often personalized and optimized according to disease severity and patient age. At present, there are several non-surgical conservative treatments for secondary dysmenorrhea and menorrhagia.
