Abstract: It is clear that assisted reproductive technology（ART） can improve the pregnancy outcome in those patients with adenomyosis and infertility. However, there is not consensus on what kind of treatment to be taken before ART. In this review, we discussed the treatment strategy of adenomyosis as so to improve the pregnancy outcome of ART as follows: hormone treatment，conservative surgery treatment and some new technologies such as uterine artery embolism and high intensity focused ultrasound（HIFU）. The hormone treatment included gonadotropin releasing hormone agonist（GnRHa），mifepristone and gestrinone. And the article described many controversies，such as the detailed drug treatment，the laparoscopic surgery and its indications and limitations before ART, the uterine artery embolism and HIFU and its effects on the pregnancy and newborns，and the type and the timing of ART after drug treatment or surgery.

Key words: Endometriosis, Reproductive technology, assisted, Infertility, female, Therapy