Endometriosis UK
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I dont understand my MRI results? did they find more endo or not? should i be concerned?

I recently had an MRI to see whether I had more endo in my bowel or the wall between vagina and bowel. the results apparently show that there is "no obvious endometric deposits within the rectovaginal septum" and "no myometrial abnormality". However they also mention that there is "free flowing fluid in the pouch of douglas" (where they found most of my endo in my first lap three years ago) and also "a couple of small haemorrhagic foci in the left ovary". im more worried about what these two things mean? there is no explanation and the consultant doesnt explain what the next step is. he just says everything seems normal. but that doesnt sound normal?

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The Pouch of Douglas, medically known as the recto-uterine pouch, is located between the rectum and the back part of the uterus in females. In men, it lies between the bladder and the rectum. The pouch is named for Dr. James Douglas, who was the first to discover it in the female body, which he extensively studied for medical purposes.The pouch commonly gets fluid in it when it is in a female's

body. This is due to its position at the base of the peritoneal cavity, which sees a lot of fluid draining through the area. Occasionally, these fluids do not drain correctly and they can bother the patient. A physician can do an ultrasound to determine if there is free fluid in the area. Blood, pus and other fluids are quite common in the Pouch of Douglas. Over time, these fluids can make it harder for women to get pregnant or cause other medical issues, which is why they are usually drained.One procedure to drain the Pouch of Douglas is a type of catheter. It is known as peritoneal dialysis and it works by bathing the area with a solution that is dialysate, which helps draw out the fluid. The catheter is implanted for a bit to allow the solution to get around the Pouch of Douglas and fully drain any fluids. Once the fluids are thoroughly drained, the catheter is removed.Another common procedure to drain fluids in the Pouch of Douglas is the culdoscopy. This procedure involves inserting an endoscope in a woman's vagina to gain a view of the interior. A culdoscopy does not actually drain any fluids, but it helps physicians see extra fluids and determine whether a catheter, or other medical action, is necessary. If there is a lot of fluid, then a physician knows that a drainage is most likely needed, but if there is just minor fluid then the issue is usually something else.More reference links: radiographics.rsna.org traumamanagement.org

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thank you. that makes a lot of sense. x


I googled it, x


I had Endo removed in my pouch of Douglas.. I was like... WHERE??. I had to google it too and I had to study anatomy for my degree. LOL



I think googling is logical, but there is so much emotion attached to things like this that when you read the letter logic goes out the window. i just started panicking. it never seems to be good news, and the medical terms sound scary a lot of the time. was just wondering really whether anyone else had mri and had similar results? ya I had most of my endo in POD which is why i was worried that there was fluid there, but i think from google that a little fluid is ok and also depends on where you are in monthly cycle.im going to see my GP this week to talk to her about the results seeing as i have no idea when the consultant will see me next. thanks girls xx


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