Summary of case history,　The patient complained of "menstrual disorders, no contraception, no pregnancy for 8 years, and vaginal bleeding for 40 days". Now she has continuous vaginal bleeding with small amount, light red color, thin texture, no flesh-like tissue discharge, which has not been finished until now, accompanied by lower abdomen soreness, dizziness, lumbar discomfort, weakness, poor appetite, average sleep, loose stool. The tongue is pale, with tooth marks, white greasy coating and thin pulse. Hysteroscopic segmental scraping was performed, and pathology revealed complex hyperplasia with focal atypical hyperplasia in the endometrium of the cervix and uterine cavity.,TCM diagnosis,　Uterine bleeding, infertility, late menstruation-evidence of spleen deficiency with dampness.,Western medicine diagnosis,　1. Secondary infertility, 2. atypical hyperplasia of the endometrium, 3. polycystic ovarian syndrome?,Therapeutic methods,　The patient had the desire to have children and was treated with high potency progestin combined with internal Chinese medicine. The principle of Chinese medicine treatment is to strengthen the spleen, benefit Qi, invigorate blood and dispel dampness.,Clinical outcomes,　Four months later, the patient was reviewed for hysteroscopy + segmental curettage pathology without atypical hyperplasia or malignant lesions. The patient's menstrual cycle returned to normal and a healthy baby girl was successfully conceived and delivered after treatment with Chinese medicine.