True regarding adenomyosis is :
The patients are usually parous and in their foies 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. Reference: Textbook of gynaecology; Sheila balakrishnan; 2nd edition; Pg187
Most common in nulliparous women
Progestin are agents of choice for medical management
Presents with menorrhagia, dysmenorrhea, and an enlarged uterus
More common in young women
Endometriosis and dysmenorrhea