You have a better chance recieving a more accurate explaination if you talk to your Doctor. Only her or she knows the specfics and other major diagnostic considerations, such as age, and medical history of your conditin. However, with the few details you have provided, me, I can make a resonable assumption, as to, why you recieved a diagonosis of Endometrioma and there were no cysts present.

According to Shawn Daly, MD, Consulting Staff, Catalina Radiology, Tucson, Arizona, cysts do not always have to be present to justify a diagnosis of Endometrioma. Specifically, when there is a history of Pelvic Infection.

Pelvic Inflammatory Disease Symptoms resembles the dull pain around my lower right abdominal and occassionally in your lower back you started to feel three months ago. A diagnosis can also be made when a pelvice infection is detected as a result of a finding during a physical examination.

Considering your disgnosis was "found" with the use of a UltraSound scanning, it is important to verify if your Physician also performed a transvaginal ultrasound study. When Endometrioma is suspected and referred for UltraSound (US) scanning, Dr, Daly recommends evaluation receives a transvaginal study, because this is more sensitive for smaller endometriomas.

To perform a transvaginal ultrasound, gynecologists insert an ultrasound probe, slightly larger than a tampon, into the vagina. Dr. Beth Karlan, director of gynecologic oncology at Cedar Sinai Medical Center in Los Angeles, the transvaginal ultrasound provides a clearer picture of the ovaries than conventional abdominal ultrasound.

According to Dr. Karlan, the transvaginal ultrasound is anatomically closer to the ovaries in many women than abdominal ultrasound and allows physicians to more accurately see what the ovaries look like. This is even more of a reason, I strongly recommend you discuss this issue with your Physician.

Other factors correlates a diagnosis that only he or she can know, such as if the US scan finding in endometriosis seached with diffuse, low-level echoes. Endometriomas can vary in appearance (for example, they may appear cystic [simple or complex], or they may resemble a solid mass). Therfore, the experience of the Physician make a great deal can may lead to a different interpretation; it may not.

The findings on laparoscopy can be used to classify patients into 4 classes, from mild (stage I) to severe (stage IV), however the staging correlates with the likelihood of achieving pregnancy but not with the severity of pain. That means, there is no definate wat to determine if pain gets worse or better or stays the same during the staging of Endometriosis.

Because there were no cysts discovered, it is actually a good thing. This takes away the additional possibility of the cysts being a hemorrhagic cysts, tubo-ovarian abscess, and cystadenomas which may resemble endometriomas. It also so, take away some of the worries you have towards pregnancy.

If you are not "in the mood" to get pregnant, I don't think there would be any additional reason for you to worry. You should talk with your doctor about ways you can achieve an anovulatory state. Many times, this is typically achieved initially using oral contraceptives.

This can also be accomplished with a progestational agent (ie, medroxyprogesterone); with danazol, gestrinone, or gonadotropin-releasing hormone agonists (GnRH); or with other less well-known agents. These agents are generally used if oral contraceptives and NSAIDs are ineffective in controlling symptoms. GnRH can be combined with estrogen and progestogen (add-back therapy) without loss of efficacy but with fewer hypoestrogenic symptoms. No evidence exists that any 1 of these agents is most effective in controlling pain; moreover, there is no strong evidence that these drugs improve fertility.

Hope this answers your question!