What Treatment Is Advisable For Bulky Uterus With Diffuse Adenomyosis And Bilateral Cystic Ovaries?

Hello doctor.. This is Meena I am 49 yrs old. I have got heavy bleeding problem & irregular periods for the past 6 to 7 yrs. I am taking tab telma 40, crevast 5 mg, glyciphage 850 mg , eltroxin 50 mg & alprax 0.25 mg for 2 yrs Before 3 yrs I would take regestrone 5 mg for 3 to 4 months..then the bleeding become normal Now doctor advised to take dinobliss 2 mg Or To insert merina Which is the best one? I have bulky uterus with diffuse adenmyosis, bilateral cystic ovaries