With adenomyosis, the treatment direction varies depending on the size of the uterus and the degree of the muscle-layer lesion. It greatly helps to bring an ultrasound report that records the uterine size measurement (cm) and findings of a non-uniform muscle layer. If you have a Mirena inserted, also write down the insertion timing and the names and doses of any hormone medications, iron supplements, and painkillers you are taking. A brief note of your last 3 months' menstrual start dates, the bleeding amount estimated from how often you changed pads, and the start and end times of pain and its intensity (on a 10-point scale) will help set the treatment direction quickly during the consultation.