Hello and welcome to HCM
Excessive bleeding and passage of blood clots is called menorrhagia
This has to be investigated with endometrial biopsy/ curretage. This investigation will give information about the uterine lining and thus the cause of excessive bleeding.
your doctor has prescribed Primolut which is a progesterone
(female hormone). It helps to regularize the menstrual cycles and to reduce the bleeding.
However, the cause has to be found out.
Headache is one of the side effects of progesterone hormone.
Your ultrasound report suggets a bulky uterus and nabothian cyst
in the cervix.
Bulky uterus can be due to various causes like fibroid(s), adenomyosis
, uterine malignancy etc.
They can be the cause of heavy bleeding.
Nabothian cyst is a harmless cyst like structure in the cervix. It is manifestation of inflammation of the cervix but it does not cause any harm.
You have been told some bladder filling problem. This has also to be investigated for it.
Please see a surgeon or an urologist
for this problem.
Thanks and take care
Dr Shailja P Wahal