MRI Result: Ovary Stuck to Womb yet gynaecologist says "no active endo"?

[MoominBabe92]

Hi everyone,

It's been over one month since I was emailed my MRI results. I have yet to speak to my gynecologist to discuss them in depth. I waited a month to speak to my GP and she couldn't answer a single question. I am losing my mind.

If anyone can shed any light on the results that would be so helpful... I feel somewhat vindicated but also very sad that I didn't push for an MRI harder a few years ago and advocate as strongly for myself as I do today. I wish I'd paid for one when I was 25 rather than wait until 30.

GYNAECOLOGIST "The MRI has not demonstrated any active endometriosis, however there is suggestion there is some blood within the right fallopian tube. The left ovary is likely to be tethered to the back of the womb. In addition to this, there may be area in the vagina which could represent endometriosis on the scan, but this needs to be assessed during an examination, which I am sure you would prefer to be under anaesthetic."

MRI TECH: "Conclusion:

1. Possible tethering between the left ovary and lateral uterine serosa.

2. No active ovarian endometriotic deposit but there is a presumed right haematosalpynx and a small nodule of indeterminate soft tissue change in contact with the right vaginal vault. This may reflect an old endometriotic deposit.

Clinical assessment of this area is required."

I also have an iud which has ruined my life for the past 2 years. They thought it was in the wrong position due to my pain. I was in less pain before the iud and I was a completely different woman despite it all.

I've had two transvaginal ultrasounds which came back clear prior to the MRI.

*I believe IUDs are not ideal for patients with tilted wombs. They have confirmed mine is tilted. This is something I told the gynaecologist who placed the iud ( a different doctor to the one I am seeing now btw) she never confirmed if my suspicions were right but at least I finally know for certain.

Any advice very welcome if anyone has ever had similar issues! I'm concerned about my fertility too

X

[laura98]

Morning ❤️ my ultrasound showed that my ovary was stuck to my uterus, I also have a tilted womb, this wasn’t picked up until my referral two years ago, despite having had scans every 5ish years when I’ve been to the doctors about my periods.

I had my lap three weeks ago and they found endo and adenomyosis, which were not detectable during the ultrasound (other than the ovary stuck) and MRI!

To definitively confirm endo you will need a laparoscopy. I’m not sure what the notes mean where it says “I’m sure you’d prefer to be under anaesthetic for examination”… are they saying they’re listing you for a lap?

[shasga in reply to laura98]

how long do you wait from your mri result to the surgery day?

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Hy Moomin fan, I also love Moomin. I didn't do any MRI they made a laparoscopy but I also have the left ovary stuck to the womb and hydrosalpinx ( left fallopian tube which is filled with fluid) but despite having so many adhesions they took biopsy from 6 places and no sign of endometriosis. I was still diagnosed with endometriosis because of the clinical signs. Why they didn't check your fallopian tubes. That should have been done to check if you can get pregnant. Don't worry you can still get pregnant even with endometriosis. I heard cases.