Hello and thank you for posting your qury on HCM Your pelvic scan reveals that your uterus is enlarged more than that appropriate for your menstrual status. This enlagement may be due to fibroid/ fibroids- these are benign proliferation of muscle layer of the uterus, adenomyosis- again a benign condition which may cause discomfort during menstruation or other growths arising from any other part of the uterus like uterine lining/ endometrium. Further your scan reveals that both ovaries have multiple cysts, in the substance of ovary and around the ovarian substance. Cysts are thin walled structures filled with clear or viscous fluid. Majority of benign cysts are harmless, however when they increase in size, they can cause discomfort, abdominal pain & menorrhagia (pain during menstruation). In such a situation they have to be removed surgically. Sometimes, benign cysts start developing malignancy in them. In such situation also they have to be removed. Presence or absence of malignancy is confirmed or excluded by examination of the tissue after surgery. Take care dr Shailja P Wahal