Hello, i am 28 years old. i recently had a pelvic, transva ultrasound. my endometrial stripe was 2.1cm (21 mm), ovaries unremarkable, with some fluid in the cul de sac. there was atleast 2 2.1 mm cysts shown. uterus otherwise ok. shoud i be concerned?

Usual guidance for an "endometrial stripe" being "2.1 cm" is to have a biopsy (outpatient procedure). This degree of thickening is usually due to non-ovulatory cycles, allowing estrogen production to stimulate endometrial growth. Multiple ovarian cysts can also result from polycystic changes in the ovaries, from incomplete ovulation.

If the MD ordering the test did not give you any advice then repeat the test in a few months if she/he did follow the advice