Suggest Treatment For Irregular Periods Along With Ovarian Cyst And Fibroid

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Dear Doctor

I am 45 years old, height is 166 cs. weight is 70 kgs.

At the age of 27, underwent Right Oophorectomy. Now the problem is Left Aenexal Ovarian cyst and Bulky uterus with fibroids Bulky uterus measuring 9.8 x 7.3 x 6.1 cms with fiboirds 3.2 x 2.8 cms

Ovarian cyst measuring 7.1 x 5.9 x 5.2 cms seen with clear fluid

Earlier the menstrual flow was for more for 7 days with no clots and spotting for about 20 days and now since 2 months, the flow is for 5 days and spotting for 15 days.
Abdominal pain is slightly reduced now
Complaint of Hemeorroids - No bleeding