questions about ultrasound results

Hi I am 47 and have been having the feeling of needing to urinate more often and also am having more than normal clear vaginal discharge.  Enough so I am wearing thin pads.  My Dr tested for urinary tract infection and that came back negative.  I had a trans-vaginal ultrasound done and the Dr said the results that were found shouldnt be causing my symptoms but Im not so sure.  The report says my uterus is enlarged with multiple fibroids diffusely through the uterus.  The largest measures about 2.4 cm.  The endometrial stripe is normal at 5mm.  The ovaries are remarkable for a complex cyst on the right mesasuring 2.5 x 1.8cm with posterior fluid level.  This may reflect a hemorrhagic cyst.  The left ovary is normal.  I also remember the tecnician saying she saw a fibroid right on the tip of my uterus that could cause the urinary symptoms but the report didnt say anything about it.  Can you help explain this report more and whether my symptoms of discharge and urinary could be caused by these findings?  Will these fibroids and the cyst resolve themselves in time or if not what needs to be done about them?  Are they dangerous?  My last period was not a full period like I normally have and now this time Im late, my periods have been irregular for a couple of years now.  Perhaps if my next period is normal in length and volume, would these fibroids and cyst shrink?  I appreciate any information you can offer.

[Machelle Seibel, MD]

A. You have several problems to address.  Fibroids are benign muscle tumors of the uterus that are like