Hello,
Thank you for your query at DoctorSpring.com
You have undergone early menopause.
Your ultrasound report from a gynecological point of view is completely normal.
The uterus shows adhesions and calcifications, which is the reason for absent periods.
The ovaries are small and atrophic, which is also normal after menopause.
There is absolutely no reason to get any surgery done.
NO medication is required for the condition.
Since you are having urinary issues, and there is some sludge in the kidneys, please consult a Urologist for some medication.
All the best
Please feel free to discuss further.
Regards.