HI!
Your uterus is at the upper limits of normal size (about 1/2 inch bigger than average).
The follicle in the right ovary is normal--means you are going to ovulate from that right side this month. The thickened endometrium is where the problem is. You probably have a build up in the uterine lining (endometrium) from irregular ovulation/menstruation.
Irregular periods tend to be heavier, clottier and more painful. If my patient had these results, I would give her a 14 day course of Prometrium (natural progesterone) to clean the lining out and get rid of the excess tissue. (If she was over 35, I would suggest an endometrial biopsy first). Then I would discuss with her how to keep her periods regular and/or keep the lining thin. One option that a lot of people really like is the Mirena IUD. Obviously if you are trying for pregnancy that is not the way to go though. Another option is birth control pills, or monthly progesterone. OR if she was "trying" I would start Femara to help her ovulate.
Hope this helps!
Dr B
Thank you very much! I guess I can tell you that I have 3 children and had a tubal ligation after the birth of my daughter. I am 32 years old and yes all of the symptoms you mentioned are me! The heavy clotting, heavy bleeding and the pain is WOW! Very painfull! I saw a Nurse practitioner and she told me that I was just fine and she let me go. I started looking into this because I have to see and endocrinologist for my Hashimotos and I have a nodule on my right lobe with Hurthle cell change.
I thank you so very much for your help!!