As per the ultrasound report,the uterus is anteverted in nature.it is bulky enlarged in size with normal shape and echotexture.it measures 103x71x86 mm.the uterine cavity is empty,central Endometrial eco-complex measures 6.4mm and shows normal echogenicity.heterogeneous echotexture few cystic area seen in myometrium ? Adenomyosis Suggestive :Bulky enlarged uterus ? adenomyosis So what is the treatment for the symptops of serious pain in abdomen after and before menstruation.