What Does This Ultrasound Report Signify?

What is the best option for these fibroids: Anteverted uterus measuring 11.5 x 5.2 x 8.1 cm for volume of 254 cc. 2 solid regions of wall heterogeneity were noted, compatible with fibroids. One is subserosal measuring 5.6 x 5.9 x 5.7 cm as measured via transabdominal approach, and 5.7 x 4.3 x 5.7 cm the endovaginal approach, and it demonstrated some color vascular flow. The other is intramural with partial subserosal extent measuring 3.9 x 3.0 x 2.2 cm as measured via transabdominal approach, involving the anterior wall, and via endovaginal approach and measured 2.4 x 2.2 x 2.4 cm I m 39, no kids, unsure if I want any. I ve had chronic pelvic pain, bladder spasms, abdominal spasms since 2005. I have pelvic pressure and my uterus feel heavy all the time and my bladder feels full all the time.