Hi I'm debating whether I should ask for a laparoscopy.
I have had debilitating period pain for several years now. It started when I was about 18 and the general trend is it's got progressively worse. The pain is so severe it leaves me screaming and rolling on the floor with intense nausea.The pain is like an intense burning right through my lower abdomen. When I get an episode they are incredibly traumatic. I cannot stand up or do anything useful until I have taken several painkillers. I usually end up taking too many during my period and I am worried that longterm overuse has caused me other health problems like acid reflux and stomach pain afer eating.
I have been seeing a gynecologist about the pain since last year. She suspected that I might have insulin resistance, and speculated that poor metabolism of sugar and carbs were causing general inflammation in my body, explaining my intense period pains. She gave me metformin because I have slightly polycystic ovaries (about 8-10 follicular cysts) even though I don't have any symptoms of PCOS apart from that; I have no weight problems or excessive hair growth and I don't get intense cravings for sugary food. I tried the metformin while also reducing carbs and increasing the protein in my diet for a year with no real impact ony my pain (although I did manage to have one or two periods with reduced pain). I have also been taking supplements which are supposed to help reduce pain and inflammation like omega-3 fish oil and magnesium. But despite this I just had my worst episode of pain recently.
I'm thinking that the next step should be a proper investigation to see if I have endometriosis. How people describe their pain with endo it sounds incredibly familiar to me. But I've had two transvaginal ultrasounds and nothing abnormal showed up? How common is it for nothing to show up in an ultrasound but be found in a laparoscopy? My gynecologist never suggested my pain could be caused by endometriosis or ever brought up laparoscopy so , I don't know. Not knowing the causse is so frustrating. I am also concerned about my fertility being affected.