Adenomyosis keeps a strange and unknown feature. Indeed, therefore of an unclear physiopathology, the difficult diagnosis due to the lack of specificity of symptoms and the absence of effective conservative treatment, adenomyosis is still tightly bond at hysterectomy. Even so, a recent literature study shows that the fatality of hysterectomy could go away. The progress in imagery diagnosis and myometrial biopsy allows the use of less radical treatments. So a group of young patients with an earlier diagnosis appears, permitting to use with effectiveness the hormonal therapy or endoscopic surgery. Hysterectomy at once is saved for more than 40 years old patients, with a considerable uterine volume and deep lesions. In the others cases, the radical procedure remains the solution for the failure of conservative treatment.