Hello, welcome to HCM,
Firstly, your sonogram report indicates increased thickness of uterus
. In this age group it is alarming. Now, hypoechoic lesions in ovary and a subserosal fibroid
But keeping the age in mind, you must have to go for total abdominal hysterectomy
and bilateral salpingoophorectomy.
It is the only way to rule out any abnormality.