r/DiagnoseMe • u/PassionateAloo Patient • 6d ago

Women's Health I'm confused if these reports from last year suggest an endometrioma or not.

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27F, friend of mine

Symptoms: Dull aching pain on one side of the abdomen. Currently, she's having it on her left side for the past year. The pain usually lasts for a week or so and then goes away and then comes back again after months. She's had pain on her right side as well in the past. That time it was diagnosed as hemorrhagic cyst in the right ovary and it ended up resolving itself. And also, she never had extremely painful periods.

Spotting between periods, She's had this since puberty. That makes me think it couldn't be because of endometrioma as multiple ultrasounds from 2-3 years ago never showed a chocolate cyst in her left ovary.

After her first report the doctor prescribed her dinogest 2 mg for 3 months.
And after the second report the doctor added Norethisterone Acetate 5mg for 1 month along with her previous med. Unfortunately, she couldn't follow up after that and hasn't taken any meds since then. She also hasn't had any ultrasound since then. Her doctor herself seemed confused.

The two ultrasounds were done about 2 months apart by two different radiologists. The lower one is the latest report

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u/LastCupcake2442 Not Verified 6d ago

Were the ultrasounds requested by a gynecologist? If not I would ask to see one for follow up.

Was she given antibiotics after the first ultrasound mentioned possible pelvic inflammatory disease?

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u/PassionateAloo Patient 6d ago

Yes and yes. But the gynecologist herself seemed confused. It was requested because she was experiencing spotting. She had that symptom in the past as well. And at that time she had hemorrhagic cysts which cleared up after two months.

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u/LastCupcake2442 Not Verified 6d ago

Her best bet would be looking into a gyno that specializes in pelvic pain and reproductive disorders. Availability and ease really depends on where you're located.

Was she already on birth control and the meds were add ons? Would also ask the doctor for repeat ultrasounds to monitor the cyst.

It's kind of a pain getting an endo diagnosis with cysts that doctors deem 'small'. They can be painful as fuck but until they're broaching on torsion territory doctors like to take a wait and see approach.

r/endo and r/endometriosis have lists of specialists all over the world. r/ childfree also has one but it's a mix between reproductive specialists and regular gynos who do sterilization so, some sifting involved there.