True regarding adenomyosis is :
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
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
Endometriosis and dysmenorrhea