My ultrasound report shows a bulky uterus measuring 14.3x9.2x10.5cm with diffuse echo texture and a lower uterine segment lesion around 10.6x6.2 cm that's heterogeneously hypoechoic with minimal vascularity suggesting fibroid or adenomyotic changes. The cervix also looks mildly bulky. I'm unsure if this needs surgery or if medication could help what would you recommend for treatment?

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