<prompt> True regarding adenomyosis is :Most common in nulliparous womenProgestin are agents of choice for medical managementPresents with menorrhagia, dysmenorrhea, and an enlarged uterusMore common in young women  <response>: 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 