Can severe resection of the uterus solve pain?

Patient's question:

16 years old, it has been serious these two years. Heavy bleeding and pain affect work, causing anemia

Doctor's answer:

Patients with adenomyosis no longer have fertility requirements, and a total hysterectomy is recommended while preserving the ovaries as much as possible. If pelvic endometriosis is also present, efforts should be made to remove the lesions while preserving ovarian function, allowing the patient to transition to natural menopause. For those who wish to conceive, hormone therapy for 6 to 12 months can be used, with the hope of achieving pregnancy in the short term after stopping the medication. If adenomyomas are discovered during surgical exploration, consideration should be given to removing the adenomyomas while preserving the uterus.