Clinically, secretory phase timing can be implemented using simple, cost-effective methods. In patients with regular cycles, scheduling surgery based on the last menstrual period, typically targeting days 17–25 of a 28-day cycle, is feasible. Additional precision may be achieved using ovulation predictor kits or mid-luteal serum progesterone levels. For patients with irregular cycles, endometrial biopsy or hormonal profiling may aid phase determination. Incorporating these strategies into preoperative planning may enhance the accuracy and the effectiveness of secretory phase-guided adenomyomectomy in routine practice.