Hello, generally speaking, multifocal progressive films will be more helpful to your eyes. Because when you look far, the degree must reach the standard to see clearly, but when you look close, the degree should be lowered because the distance is close, so that your eyes are not easy to get tired. But usually people who wear it for the first time are very uncomfortable.
As you said above, it is recommended to add astigmatism, because astigmatism will make the eyes see things very scattered and unable to concentrate. Please adopt it.