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Real members of MyEndometriosisTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

Why Would A Pelvic Mass Found During A Bimanual Exam Not Be Found On An Ultrasound And CT?

A MyEndometriosisTeam Member asked a question đź’­
Tacoma, WA

My gynecologist told me that she felt a pelvic mass on a bimanual exam that suggested to her that I might have an endometrioma or more on the other side of my vaginal cuff. She also noted a polyp on the vaginal side of the cuff that might be endometriosis. Why would a transvaginal ultrasound and a CT scan find absolutely nothing, when I was in so much pain that I needed hydromorphone in the ER to control it?

August 12, 2023
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A MyEndometriosisTeam Member

Sorry you are still experiencing pain after all you’ve been through, it feels hopeless at times. Maybe the doctor who did your pelvic exam was incorrect….or maybe you have a lesion where they can’t see it on ultrasound…

August 13, 2023
A MyEndometriosisTeam Member

I've had endometriosis diagnosed by laparoscopy and a hysterectomy/oophorectomy. I'm just confused because they could see cysts on the ovaries that turned out to be endometriomas with ultrasound before, so if it's big enough that the doctor can feel it, why can't they see it on an ultrasound this time?

August 13, 2023
A MyEndometriosisTeam Member

Really the only way to see/completely diagnose is through a laparoscopic surgery. Have you ever had one? Im not sure if this would show endometriomas, but an MRI with vaginal and rectal contrast/ultrasound like gel will show endometriosis sometimes. It’s so frustrating that a laparoscopy is the only way they can see it.

August 13, 2023

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