U.S. doctors online nowAsk doctors free
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
Family Medicine 24 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.
Dr. Justin Diedrich
Gynecology 14 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.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership
Last updated Feb 19, 2015

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.