hello and welcome, Your report does not mention where the cysts are. If they are in the ovary the size is small and no worries. However they may cause irregular bleeding. If they are in the cervix, most likely caused by locked nabothian gland ducts that are found in the cervix. Again these are non cancerous and need no treatment. The uterus is big in size and it may also be causing irregular bleeding due to hormonal imbalances or a condition called adenomyosis where the uterine muscles become big and also the uterine lining begins to grow inside the uterus. Other reason for irregular menses may be perimenopausal period. Abnormalities of thyroid also cause irregular bleed. The cysts seem to be in cervix [ if I am not wrong]. I suggest you get a D and C done to take and endometrial biopsy and a therapeutic curettage [ remove the endometrium as much as possible to control bleeding]. A cervical biopsy can also be taken at the same time to check for the cysts. A blood TSh will also help. Further treatment will depend upon the pathology report. Discuss this with your gynecologist. Do not worry. These are common after 45 years. They just need a bit of evaluation and treatment. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist