True regarding adenomyosis is
The patients are usually porous and in their forties
Symptoms: Menorrhagia or Menometrorrhagia and Congestive dysmenorrhoea
Relief of secondary dysmennorhoea can be tried with NSAIDs or OCPs
Other options are GnRH agonists or LNG -IUS.
Medical treatment is not very effective.
Most common in nulliparous women
Progestin are agents of choice for medical management
More common in young women
Presents with menorrhagia, dysmenorrhea, and an enlarged uterus