About adenomyosis, all are true except:-
Associated with dysmenorrhea and menorrhagia
Total hysterectomy is the treatment of choice
Asymmetrically enlarged and tender uterus
Seen in multiparous women
Uterus is Symmetrically enlarged in adenomyosis to not more than 14 weeks size. Adenomyosis Seen in multiparous women >40yrs Associated with Progressive Dysmenorrhea Menorrhagia Treatment Best Rx : Hysterectomy Menorrhagia: NSAIDS , Hormones Young women: Hormones, COCP for longer duration, IUCD with progesterone(mirena), Localised excision Sx Mx of Menorrhagia: D&C
Endometriosis & H