Dear doctor, my wife aged 47 years is suffering from multiple uterine fibroids and pelvic scan done on 3rd september, 2021 shows: uterus: bulky 13.5 x 8 cm with 6.8 mm endometrial thickness, multiple fibroids 5.4 x 5.6 and another 6.8 x 6 cm. Urinary bladder: normal. Ovaries: normal ro 3.9 cm lo 4.5 cm. Adnexa: normal. For last 1 year, periods were abnormal and sometimes bleed heavily for 3 to 4 days. During abdominal pain, she used to take drotin-m and calpol for last 9 to 10 years. Then, she took fibroease 10 mg for 3 months under the supervision of family doctor. There was no periods or pain during these 3 months and pelvic scan done on 30th december, 2021 shows: uterus: 11.7 cm with multiple fibroids uterus largest 4.4 x 3.7 cm. With 8.7 mm. Endometrium with cystic changes. Urinary bladder: normal. Ovaries: normal ro 1.4 cm lo 1.8 cm. Adnexa: normal impression: fibroid uterus with cystic changes in endometrium? Adenomyosis. Please correlate clinically. Please give your opinion in this regard. Thanking you in anticipation. With regards s.s.dey.