Awful menstrual cramps, diagnosis uterine fibroid & adenomyosis, bcp contradiction. what can i do other than otc pain pills & heat pad which don't help much?

Uterine Fibroid: Annie_777: fortunately, you have sevearl options if conservative treatment fails. I recommend discussing your therapeutic options with your ob/gyn physician as well as seeing an interventional radiologist in your community who treats uterine fibroids with uterine artery embolization. The latter is a minimally invasive option that is very successful in treating both fibroids and adenomyosis.

Progesterone : Progesterone will also help with adenomyosis if you have contraindications to estrogens. Can also discuss using the Mirena (levonorgestrel) iud with your gynecologist.

UAE/hysterectomy: Options are uterine artery embolization or a hysterectomy.