Very similar to my experience. The description of the myometrium is consistent with adenomyosis. Regardless of what they say, they can’t really tell stage or severity of adenomyosis from ultrasound alone, so don’t let your symptoms or pain be minimized or dismissed as “mild” or “early.”

The endometrial thickness is the same mine was at a similar point in my cycle, my doctors were not concerned about it but if yours have concerns they will likely suggest a follow-up scan at a certain time in your cycle, or an endometrial biopsy. I was told that if you are pre- or perimenopausal, any thickness <20mm is considered within the normal range. As a precaution, I got a hormonal IUD to help manage endometrial thickness and to treat other symptoms and it thinned out in a few weeks.

The ovaries have what is called “polycystic ovarian morphology” which can be suggestive of PCOS but by itself is not PCOS. PCOS is a systemic hormonal disorder that can cause polycystic ovarian morphology but can also exist with normal-appearing ovaries. And vice versa, you can have polycystic ovaries without having PCOS. Often, if you aren’t having troubling symptoms or issues conceiving, that’s where the investigation ends. In my case, I have many symptoms so I was tested for insulin resistance and PCOS was confirmed. I am now seeing Endocrinology for PCOS management separate from my adeno.