Treatment of choice of perimenopausal adenomyosis is :: (A) OCP, (B) LNG IUCD, (C) GnRH agonists, (D) Hysterectomy
Answer is D. A diagnostic hysteroscopy combined with a curettage is the initial step in the management of adenomyosis because of menorrhagia. Since most women are elderly and past the age of childbearing, total hysterectomy is the treatment. Reference: Shaw's Textbook of Gynaecology 16th edition page no 421