D&C is required as of now as the endometrial thickness is 44 mm. This must have happened as she didn’t get her periods regularly. In pcos due to irregular periods which happen once in 3- 6 months sometimes, these type of issues are seen.
Next Steps
Go for D&C now.
To avoid these kind of issues in future, use T Duphaston 10 mg from day 18-24th day of period to get the period regularly so the endometrial layer is shed periodically.
Health Tips
Lifestyle modification:
Exercise daily for 20-30 minutes
Weight reduction is advised if overweight
High protein diet like egg whites, sprouts, green leafy vegetables, dal.
Limit carbohydrates like rice, sugars.
Plenty of water 3-4 litres per day.