Me: 24, nulliparous, have a mirena, sexually active with a cis guy. I have vaginismus that I've treated with physical therapy and it's gotten a lot better. I probably have endometriosis based on my longtime symptoms but not diagnosed laproscopically. My endo symptoms are managed well with the IUD for the past three years and I do not menstruate or experience any cyclical symptoms. I think I have ovulated a few times but not every month and no bleeding.
Here's what it isn't:
Pregnancy (I've taken many tests)
PID (I've only had genital-to-genital contact with one person and he's only been with me ever. No chance of cheating.)
Gonorrhea/Chlamydia/ any other STI: see above, plus I've been tested 2 weeks ago
Some kind of sex injury (I don't have sex very frequently)
My gyn said my uterus feels normal. I had a sonogram today and I should get the results back in a day or so, but in the meantime, I'm in pain and I'm concerned. :( Also I feel like VPers know everything.
What I think it could be:
endometriosis breakthrough pain (not really any way of diagnosing this without surgery, which I REALLY want to avoid)
fibroids (but no history of this and none as of my last transvaginal ultrasound 5 years ago
ovarian cysts (but the pain is centered and not on one side
Some kind of GI problem (I think I have a small anal fissure but my bowel movements are normal and the pain pattern doesn't match up in any way with my bathroom habits)
bladder infection (but probably not since I drink a ton of water, always pee clear and have no other urinary symptoms)
Any input? Votes? Guesses? I'm feeling baffled and annoyed and I'm afraid the sonogram isn't going to show anything.