Summary of case history ,Patient Wu, female, 30 years old, went to the doctor on October 16, 2015 because of "dysmenorrhea for 5 years and no pregnancy for 4 years without contraception". The patient developed dysmenorrhea without obvious inducement 5 years ago, with heavy menstruation, accompanied by membranous substances and blood clots, and ultrasound suggested adenomyosis. After marriage without contraception without pregnancy for 4 years, the examination shows: low ovarian function; The left fallopian tube was blocked, and the right fallopian tube was not smooth. In September 2015, in vitro fertilization-embryo transfer was performed and egg implantation was unsuccessful, so she came to our hospital for traditional Chinese medicine treatment.Symptoms and signs: The patient was tired, the lower abdomen was tingling, the waist and knee were soft, the stomach was nake, the night sleep was an, the stool was sticky, the urine was OK, the menstruation was regular, the quantity was large, the membrane was excreted, the dysmenorrhea was 4～5 days, the tongue was reddish, the side was dark, the root of moss was greasy, the pulse was fine and astringent.,TCM diagnosis and syndrome, Dysmenorrhea (syndrome of kidney deficiency and blood stasis),Western medicine diagnosis ,1.Dysmenorrhea; 2.Uterine adenomyosis; 3.endometriosis uterina 4.female infertility; 5.diminishedovarianreserve,Therapeutic methods ,Traditional Chinese medicine (TCM) adopts the "three-stage treatment" of premenstrual period, menstrual period and intermenstrual period, and gives TCM decoction orally and enema to eliminate and replenish both, smooth collaterals and facilitate pregnancy. Western medicine used IVF-ET to remove and replant eggs.,Clinical outcomes ,The patient's dysmenorrhea was alleviated obviously, the oocyte was successfully retrieved by assisted reproduction and the embryo was successfully conceived after embryo transfer.