Mirena is intrauterine device releasing hormones. It is very safe. It can cause occasional spotting, otherwise no side effects.

If you use pills use newer low dose ones that cause less side effects like femilon or yaz. Alternatively you can get a mirena coil or implant fitted.

Dc is a must before anything else can be planned. moreover there is a 5cm cyst which also needs to be investigated b4 any definitive treatment

Usually mirena is not advised if uterus is distorted by multiple fibroids. But your doctor must have assessed it.

It appears the problem has come back after removing the mirena. Depending on the latest investigation reports I would advice either mirena again or maybe low dose oral hormonal pills.

You need to see a Gynecologist in person as you will again need a few tests doing as well a pelvic examination. If conservative treatments fail then further surgery has to be discussed. Also a Copper T does not help with heavy periods. A mirena coil which is a hormonal coil may.

This may be a hormonal problem. Think about getting a hormone-releasing intrauterine device called Emily/Mirena inserted. It will regularise your hormones as well as act as a contraeptive.

You need to use an effective contraception. Contracetive pills like yasmin/ novelon are easily available in the market and affordable. They are very effective in preventing unwanted pregnancy if used consistently. There are however a few contraindications like active liver disease; migraines, propensity to form blood clots etc; other option is to get a copper or mirena coil fitted. Third option is to use barrier methods like condoms and diaphragms. They have to be used at the time of sex. But th...more

I would suggest you get a repeat USG of your pelvis done to check the status of adenomyosis as well as a urine RE.
Meftal is a pain killer . hence should not be taken for such long periods. If you are having problems with painful periods you need to consider hormonal tablets or a mirena coil to see if these help

There r some issues beyond 35 yrs of age. But all can be handled. Your time is running out fast for getting pregnant. Try for pregnancy asap.