38th day of menstrual cycle(irregular), ultrasound shows endometrial thickness 14mm rt ovary 64*37*28 lt 40*33*22 mm complaining of pelvic pain, pain with urination and bowel movement, spotting between periods and multiple breast masses, opinion?

Day 38 of period ?'s: If your periods are "irregular", at age 22, you may have "PCOS" (polycystic ovarian syndrome). The thickened endometrium and ovarian dimensions may indicate PCOS as well, as estrogen levels are sustained without ovulation, and the bleeding at "day 38" may be from estrogen withdrawal bleeding only, and not from a post-ovulatory event.