I have severe lower abdominal cramping and severe lower abdominal enlargement?

I am 38 year old female with adenomyosis. Main symptoms for the past few years have been irregular menstrual cycles. severe lower abdominal cramping and severe lower abdominal enlargement. Progressively getting worse symptom worse over the past few years. However for the past few months the symptoms have increased significantly in particular lower abdominal enlargement and regular cramping too. Is this mid normal for this condition?? Should the cramping and abdominal enlargement be this severe? And how irregular should my cycles be?? Since yesterday cramping has been terrible, and just like a feeling of severe pressure pushing low down. Is there anything I can do for this??

Age: 38
Female
Medications: None.