Hello mam, thanks for trusting health care magic.
in my opinion you should undergo an hystrectomy for above findigs especially if symptoms are bothersome to you already,
Fibroids and adenomyosis
once symptomatic have to be removed because they cant be cured with medicines.
In case you have further questions you can consult me on health care magic forum and i will be happy to help
Take care and wish you all the best.
Dr Manisha Jain.