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San Antonio, TX
A 36-year-old female asked:

I am taking bc pills continuously for endometriosis and have been having increased pelvic pain. the sonogram shows heterogenous uterus with 8mm endometrium? what is next step?

2 doctor answers3 doctors weighed in
Dr. Samantha Brown-Parks
25 years experience
Endometrial Biopsy : Your gyn may want to stop the pills and rescan or collect an endometrial biopsy next. Other options may include a d;c or endometrial ablation depending on your medical history.
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Dr. Justin Diedrich
Gynecology 15 years experience
Adenomyosis?: It's possible the heterogeneous uterus that was shown on ultrasound is adenomyosis. This is when there are glands in the uterus itself (similar to endometriosis inside the uterine muscle- the myometrium). Ask your doc about a "gnrh agonist" like Depo-Provera lupron (leuprolide). This would simulate menopause, but it can also help greatly with the pain of endometriosis or adenomyosis. You may need a hysterectomy if bad.
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Related questions

A 49-year-old female asked:
49 yrs old, no period in almost 2 yrs. Started bleeding heavy, lasted 1 week. Had trans vaginal ultrasound. showed enlarged uterus with heterogeneous myometrium. Ill defined endometrium. thickness was 6mm. Having d&c with hysterscopy. Cancer?
Dr. Tinuola Adeyanju
Internal Medicine and Pediatrics 40 years experience
The information you have shared so far does not mean cancer however the D&C with hysteroscopy is diagnostic to find out if there is cancer. It loo... Read More
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A 21-year-old member asked:
Do these endometrial implants or endometriosis act like normal endometrium inside the uterus?
Dr. Michael Traub
Fertility Medicine 20 years experience
In Some ways: In some ways yes because they implants are sensitive to your body's own hormones production and they are more active at times when they are influenced... Read More
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A 22-year-old female asked:
Feels like my pelvis and insides like my uterus and ovaries are on fire. What could be causing this? I have endometriosis, adenomyosis, and pcos.
Dr. Mary David
Specializes in Obstetrics and Gynecology
Nerve pain: Classically it is taught that nerve pain is burning in nature so this sounds like something is causing irritation of the nerves to or in your pelvis. ... Read More
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A 21-year-old member asked:
On pelvic examination, I had a retroplaced uterus and my doctor said I had endometriosis. How common is this?
Dr. Alfredo Nieves
Gynecology 41 years experience
Retroflexed uterus: 16-20%of all women have a retroflexed uterus, congenital. Endometriosis, pelvic inflammatory disease among other conditions can creat scaring in the p... Read More
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A 22-year-old female asked:
Can endometriosis w/ weak pelvic floor cause smell from rectum to be emitted when uterus contract if scar tissues are attached to rectum?
Dr. Eric Kaplan
Colon and Rectal Surgery 43 years experience
Not likely: Severe endometriosis involving the colon or rectum will usually cause obstructive symptoms before any bleeding due to endometriosis occurs. Smell is m... Read More
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Last updated Feb 19, 2015

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