Hello doctor .actually gynecologist suggest my mother to do hysterectomy and please I want to tell you is there any other second option for treating the problem without hysterectomy. Please doctor answer. She is suffering from multiple fibroid and dysmenorreah. Pain during periods. Heavy bleeding .please answer please mothers age is 40 years and last 1 year she is suffering from this. Recently she has done ultrasound and it says (bulky adenomyosis uterus with thick endometrium [ et 17 mm ] and multiple intramural fibroids without endometrial compression and perimenopause ovaries ). My mothers hg level is 8.2 ,and doctor suggest the medicine tranexa mf (tranexamic acid and mefenic acid 500 mg) three tablets per day for 3 days only and then duoluton l (levonorgestrel and ethinylestradiol tablets ip) a 21 day course starting from 15 th june 2020. Please mam I am so much tensed.