### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I want to know what my ultrasound report means where it is mentioned about my endrometrium having thickened by 20mm n swollen uterus with 93/40mm and also having enlarged ovaries of RO49/16 and LO49/26.. I must tell you that I am 27 years aged and never had pregnancy and I went for the ultrasound when I had hyper menstruation more than 60 days also my thyroid report and blood sugar report is normal. Plzz tell me the complications if any and the meaning of this report.

### output:

Hi there, I have understood your concern and I will suggest you the best possible treatment options.First do not panic. It is good to know that your thyroid and sugar reports are within normal limits.Let's talk about your menstrual cycle problem and USG report. Definitely USG report is showing bulky uterus and thick endometrial lining. These findings suggest a condition called as adenomyosis and thick endometrial lining can be due to hormonal imbalance. If there is no ovulation in the cycle only estrogens' hormone is produced by ovaries. Both the situations can lead to heavy bleeding. If you are still getting heavy bleeding, please seek prescription support from your treating doctor for Tranexamic acid and Metonymic acid tablets. This will help to minimize and stop your bleeding, till going ahead with further treatment. Secondly, both the ovaries show more than normal sizes, it can be due to PCs, polycystic ovaries syn Chat Doctor. If you can get further information about ovarian volume and echo texture of the ovaries, diagnosis of PCs gets confirmed.PCs if its there can be managed by good lifestyle changes and medications. Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits and vegetables and salads in daily diet. Avoid refined sugars and deep-fried foods and bakery products. Please take appropriate actions as suggested, do not worry. The USG reports are pointing to take action. With proper treatment pathway you can get rid of these issues. God bless you. I hope this answer helps you. Thanks.