[payal78]

Dear Doctor,

My name is Payal Saluja. I was detected endometriosis 10yrs back, underwent laparoscopy and for 3 years I was on Depoprovera . After that it got healed. Ow since Dec 26th 2012, I am having continuous/ irregular mentrual bleeding. I underwent USG for whole abdomen and the reports are given below.
Liver :Normal in size, shape and echo-texture. Bilary ductiles are not dilated. No focal lesion noted in parenchyma.
Porta : Portal vein is within normal luimit. No lymph node enlargement is seen.Comon bile duct is not dilated. visualised proximal common bile duct is normal
Pancreas :Normal in size n shape.Main panchreatic duct is not dilated. No calcification seen
Spleen : Spleen mildly enlarged in size but normal in shape and echo-texture. Spleenic vessel appear normal. No parenchymal lession seen. Spleen measures 121.7mm in long axis
Kidney :Kidneys are normal in size,shape, position and echo-genesity. Chortico medulary demarcation appears normal. No evidence of calculus or hydro-nephrosis seen. Rt kidney:101.6mm in length. Lt Kidney :97.8mm in length. Uretus not dilated.
Uterus:Antiverted, bulky but normal shape. Myometrial texture is normal. Endometrial echo is in midline and normal in thickness. 8.6mm. Uterus measures : 105.8mm*60.5mm*37.9mm
Ovaries :Rt Ovary is normal in size and shape. Parenchyma echotexture is normal. Size 35.4mm*17.9mm. A large cystic lesion 72.1mm*33.7mm approx is noted in left adnexa intimately related to Lt ovary. Retro-peritonium aorta and IVC appear normal. No ovious lymph node enlargement noted
Impression:Mild splino-megaly, bulky uterus, large cystic lesion in left adnexa? Ovarian cyst? Hydro-salpinx?

What could be possible reason for continuous bleeding?

[dontknownuthin]

Well, you had this assessment done - what did the doctor say?

Perhaps times have changed, but I had endometriosis for many years - from early teens until I was 33. I had many, many surgical procedures - D&C, Hysterosalpingogram, laparascopies - and used many, many other methods such as a medically induced fake menopause and other medications to control it. At the time there was no cure short of hysterectomy, which I finally had to do. So, I question whether it was "cured" for you or rather simply treated. It generally comes back over time, and you may need another surgical procedure to manage it a while longer.

I would guess that endometriosis is still your issue.