Anyone know what this report indicates?

Angelica 💝 • Blessed with Twins Aangel💙Aanastasia💗11 Months 👩🏻‍🍼👩🏻‍🍼

I recently had a pelvic ultrasound due to heavy bleeding with periods and huge blood clots. I recently had my tubes removed 6 months ago after delivering my twins. I was told there wasn't a fibroid found so what exactly is causing my heavy bleeding? I've been needing provera pills 5 days during my period to clot the blood. I am scheduled to see my obgyn but was wondering if anyone had any insight? Thanks in advance.