Irregular Menstruation\Uterine Fibroids\Hysteroscopic Surgery?

Female, 47 years of age Chief complaint: irregular menstrual cycles, no abdominal pain, no abnormal vaginal bleeding Examination report Department: Specialized Ward for Uterine Cavity Disorders Clinical diagnosis: Multiple uterine fibroids; nature of intrauterine lesion to be determined Ultrasound description: [Uterus] [Transvaginal] Uterine position: retroverted; uterine size: length 71 mm, transverse 73 mm, anteroposterior 65 mm; Uterine shape: irregular; uterine echo: heterogeneous; myometrial color flow signals scattered, Endometrial thickness 6 mm, endometrial echo slightly uneven, intrauterine IUD: none. Cervical length: 29 mm Mid-low echo area in the right anterior wall myometrium: 36*37*35 mm, compressing the uterine cavity; multiple low-echo nodules seen in the remaining myometrium, largest 48*45*38 mm [Adnexa] Right ovary: 20*16*15 mm, Left ovary: 22*15*11 mm [Pelvic fluid]: none. Ultrasound impression: Multiple uterine fibroids, one possibly affecting the uterine cavity. Endometrium slightly heterogeneous. Examination time: February 24, 08:20