A 40-year-old G2P2 woman presents with a 6-month history of heavy menstrual bleeding and progressively worsening pelvic pressure. She denies intermenstrual bleeding or postcoital bleeding. Her physical exam reveals a symmetrically enlarged, firm, and mobile uterus. A urine pregnancy test is negative. What is the most likely diagnosis?
✓ Correct Answer: Option B
Heavy menstrual bleeding (menorrhagia) and pelvic pressure with a symmetrically enlarged, firm, and mobile uterus are classic symptoms and signs of uterine fibroids (leiomyomas). Adenomyosis typically presents with a diffusely enlarged, globular, and tender uterus.