Question: I am a 51 year old female who had endometrosis in my early 20's and have had no children. Clinical notes stated Menopausal with no periods for 16 months then heavy bleeding 3 days.

I recently had a pelvic ultrasound and was advised my uterus was quite bulky at 163 x 136 x 92mm in diameter. It was anteverted in position. There were 5 discrete fibroids visible, one right sided posterior intramural fibroid measured 70 x 89 x 63mm, a further right sided intramural fibroid 55 x 50 x 64mm, a left one 58 x 75 x 73mm. An anterior intramural fibroid 42 x 40 x 34mm and an adjacent anterior intramural fibroid 35 x 29 x 25mm.

Also the endometrial canal contains some echogenic material which most likely represents blood produces as there is no evidence of vascularity. Overall the edometrium itself is not thickened at only 4mm.

The right ovary had a volume of 11.9cc demonstrating 5 residual follicicles measuring up to 18mm in diameter, The left ovary had a volume of 4cc. There was no free fluid in the pouch of XXXXXXX

What does all this means in simple terms please, my Doctor has suggested a hysterctomy but I would like to understand what all the above means.