I am 39, a smoker, poor, and I haven't had insurance for 2 yrs. So no doc visits in 2 yrs. Until an ER visit prompted xrays and a ct scan. Long story short multiple lung nodules..a month later biopsy of one nodule..ct scan new nodule needs biopsy and multiple new nodules have shown up. Aside from that though I decided to get a gyno appt because of horrid periods..excruciating ovulation..irregular menstration..and daily pulsing lightning like ovarian pain. Sometimes just a few pulses..sometimes all day with increasing intensity. I am about 135 to 140 lbs the last few years and a size 9 or 10 but im down to 122 right now for no apparent reason and weirder than that no change in pants size..actually they are usually tight on me most days. On top of that I urinate quite a bit more often during the day than Im used to and now Im urinating 5 to 7 times per night most nights. Ive had cysts on my ovaries nearly every gyno visit but doc says its normal. This used to be bearable but now its not. So I went to gyno and he did a full pelvic exam causing me excruciating pain. Says he thinks pelvic pain is endometriosis. He has set up an ultra sound for my ovaries and uterus. My worry is I live in a small town..have had ultrasound before..same doc that said my cysts are normal is gonna be the one looking at new ultrasound..not transvaginal either..pretty sure our hospital wont use it or buy it. Im very concerned that something will be missed..this pain is not normal..im afraid that its never going away. Im terrified its cancer. Any advice?