I had D&c last June 2014, because of prolonged bleeding. Then last Feb 24, I had a transvaginal ultrasound and the result is non-uniform echogenicity, homogenous background with regular cystic spaces suggestive of hyperplastic changes, the midline echo is not defined, the myometriel-endometrial junction is regular. Size is 1.52 cm. do i need a hysterectomy? Or just another d&c?