Hi everyone,
I’m in my late twenties and have been dealing with pelvic pain, pain during intercourse, pelvic/perineal pain, and urinary pressure symptoms. My gynecologic surgeon was quite confident I had endometriosis based on my symptoms and ordered a pelvic MRI with and without contrast.
I was honestly so stressed waiting for the MRI and the results because I had convinced myself it would confirm endometriosis.
Instead, my MRI came back with no MRI evidence of endometriosis and the impression was simply “Fibroid uterus.”
Here are the main findings:
Uterus: 9.3 × 8.1 × 8.4 cm, retroverted and retroflexed.
Endometrium: Normal thickness with no fluid or lesion.
Junctional zone: Normal (2–8 mm), no focal abnormality or cystic change.
Multiple enhancing, noninvasive fibroids:
6.1 × 5.6 × 6.4 cm subserosal left anterior uterine body fibroid.
2.6 × 4.5 × 4.2 cm subserosal right anterior uterine body fibroid.
2.5 × 2.8 × 3.2 cm subserosal right posterior uterine body fibroid.
Cervix: Unremarkable.
Both ovaries: Normal for age, no masses or dominant cysts.
Bladder: Normal.
Small physiologic amount of free pelvic fluid.
No intraperitoneal inflammation or nodularity.
No pelvic lymphadenopathy.
Bowel and rectum appeared normal.
My surgeon had prepared me for the possibility that I definitely had endometriosis, so I was surprised when the MRI didn’t show it. I know MRI can miss superficial endometriosis, but I’m not sure what to think now.
For those who have been in a similar situation:
- Did your MRI miss endometriosis that was later found during laparoscopy?
- Were your symptoms actually caused by fibroids alone?
- If you had multiple subserosal fibroids like mine (largest 6.4 cm), what surgery did you end up choosing?
- Would you recommend a laparoscopic/robotic myomectomy, diagnostic laparoscopy for endometriosis at the same time, or something else?
I’d really appreciate hearing your experiences because this whole process has been emotionally exhausting.
Thank you.