Hello ma'am, I really appreciate your courage to have successfully recovered from two major surgeries. As far as your current ultrasound report is concerned, it could be 'Adenomyosis'. Adenomyosis is a condition in which the endometrium lining the uterus from the inside, migrates into the myometrium (muscle layer). The displaced tissue continues to act as it  normally would- thickening, breaking down and bleeding in each menstrual cycle. It can result in an enlarged uterus and heavy painful periods. Adnomyosis on USG is typically seen as heterogenous myometrial echotexture, as is your USG report.