Sex hurts, can't get pregnant, and a mysterious mass.
Patient :I'm a 28 yr old overweight Caucasian female. 2 preg's. 1 live birth. History of painful intercourse. In 2007 I was seen by an ob/gyn for this pelvic pain and an u/s revealed I had a "mass" (pendunculated leiomyoma) located behind my uterus. However, the following MRI showed no such mass. It was diagnosed as myofascial pelvic pain and I was sent on my way. After this I attempted to get pregnant and came off of birth control meds. I then developed PCOS symptoms (Acne, Weight gain, Extra hair on the face and body, Irregular periods, etc.) and had several labs drawn which only showed significant elevation in testosterone levels and nothing more. This was somewhat treated with weight loss. In 2010, I finally was pregnant and in 2011 I delivered a healthy baby girl. Soon after this, the PCOS symptoms returned (except for my periods are/were normal). In Jan 2013, I had an ectopic pregnancy and after recovering I was told that a "mass" was seen behind my uterus. They said they didn't touch it for fear of the unknown. So I was sent back to OBGYN and had labs drawn. Testosterone was 327. No other abnormal labs. 2 repeat u/s showed this mas to be 3x3x4 cm (approx) and another located on or near the rt ovary 1x1x1 cm. Also, some calcification on the uterus. I'm awaiting another follow up appointment but by questions/concerns are this: why is sex still so painful? why do i have all the symptoms of PCOS without the cysts? why do i seem to struggle with fertility? Currently, I have missed my period (this is unusual), have very tender and swollen breasts, severe bloating/constipation, abdominal cramping/pains and 3 negative home pregnancy tests. My current treatment regimen is spironolactone 25mg qd. and Tylenol for the pain (laughable)
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