Thanks for posting your query,
Most women have some adenomyosis
as they near menopause
but few women have symptoms, and most women don’t require any treatment (but in your case it seems you will require treatment).
In some cases, pain medicine may be needed (you seem not to experience any, so that will be excluded from your treatment). Birth control pills and a progesterone-containing intrauterine device
(IUD) can help decrease heavy bleeding.
is a final definitive treatment for severe symptoms.
Hope this helps and wish you the best.