My doc also wants me to consider an IUD but based on friends experiences I’m terrified. I’m on norethindrone pill right now and it’s at least controlled bleeding but other than that it hasn’t helped other symptoms

I got the Mirena and it reduced my flow even for a few months after it was removed, although I had spotting the whole time I was on it, but it made my anxiety and ADHD significantly worse, so I had it taken out after a month. I have adenomyosis without endometriosis. I've been thinking about uterine artery embolization, it's a newer method of treating adenomyosis that cuts off blood supply to the adenomyosis tissue and the uterus recovers as a normal uterus. So you still have your uterus, and start to have normal periods. I'm still researching options and figuring out what I want to do.