Thank you for your query.
As far as fertility
is concerned, yes this report itself does not portend well.
More so if the woman is above the age of 45.
Firstly the uterus shows multiple fibroids. If they encroach upon the uterine cavity
, they interfere with pregnancy.
A diagnostic hysteroscopy
is required to comment on this further.
The left ovary shows a cyst which could be endometriotic, further impacting fertility.
After 45, the ovarian reserve
, that is, capacity to produce mature eggs, falls remarkably.
THe lady in question needs to see a fertility expert at the earliest, and consider going in for ART ( assisted reproductive technologies )