What Does This Ultrasound Report Indicate?

I have bee having lower abd pain/pressure, bloating, urinating more frequent, and at times troubles with constipation. I thought it was my diet so I have been trying to change my eating choices. I went to my GYN and c/o heavier menstrual flow with clotting, and occ spotting even after my period is completed. She talked to me about an ablation and ordered an U/S. I had the U/S and the report noted I have a 6.8 fibroid tumor in the wall of my uterus, a 3.8 cyst in my right ovary and the ovary is larger then the left. (left ovary in normal) I also have thickening of the endometrial lining that she made a comment that I would need a biopsy of this. What are your recomendations or suggestions....