Something inside of my uterus

About a week ago I had and ultra-sound and a hysteroscope. My Dr. said that the lining of my uterus was thick but my uterus was of normal size. She said that it was probably a polyp. She then did a biopsy of the tissue lining of the uterus. She said that it was difficult to get out because something in my uterus was hard. What could have been “hard” inside of my uterus???
I am 34 years old and my complaints have been heavy bleeding, big blood clots, pain in my pelvic region that feels as if a bowling ball was sitting on my pelvic bones, constant bloating, my stomache is so bloated that I look about 4 months pregnant, (my tubes are tied), chronic constapation, lower back pain for sometimes brief moments or sometimes days.
I have read so much on uterine fibroids, polyps, and nothing refers to anything being hard.
Thanks so much for any information that you might have.

Dear Wondergirl-
Your symptoms are classic for Adenomyosis. Tissue biopsy is the only way to confirm the diagnosis, however, not all biopsies are successful.
This disease is associated with a hard, painful uterus, heavy bleeding and clots.
Most gyns will recommend hysterectomy…we recommend our FAS procedure that will laser remove the disease. We reconstruct the uterus to prevent the major side effects that can occur after hysterectomy.
You may want to have an MRI done to check for changes in the uterine muscle..however you will need a good radiologist to diagnose the disease.
Good Luck

Okay, finally my doctor scheduled me for a D&C on July 9th. I asked for a MRI to see if maybe there would be something there that would indicate that I suspect that I have adenmyosis. I was told that the MRIs are not very good in the pelvic region for finding anything that the ultrasound was the best. (Everything that I have read has said otherwise.) I was given 3 choices by my doctor. 1 was to do nothing, the 2nd was to do a D&C, and the 3rd was a hysterectomy. The only reasonable thing to do was the D&C. Everything has been the same for the last 6 months or longer, heavy bleeding, large blood clots, swollen stomache, the feeling of a bowling ball sitting on my pelvic bones, constipation, but now I have hemorroids. Could this be related? Also I have found a protrusion (like a lump) above my pubic bone and a larger one on my left side of my stomache, could this be related?
Thanks again,
Wondergirl

Dear wondergirl-
These other problems are probably not related. You should have them looked at by a physician. Hemorrhoids will occur with straining, if you are constipated.
Your D&C may temporarily stop your heavy bleeding and clots, but once the endometrial lining builds up again, the symptoms will reoccur. It is a wasted procedure that buys time. You need to have the adeno removed. Your symptoms will only continue to worsen the longer you delay.
Dr. DJ

Dear Doctor,
I have irregular periods, bleeding heavy and other time not at all. My periods come every 2months. I have alot of pain, to the point, that I have to Lay down. Had a ultrasound and transvaginal one. Results: the Uterus measures 10.1×5.5×2.3cm I also have a fundal fibroid posteriorly measuring about 24mm. Also, I have to simple cysts measuring 8mm and 10mm. They have suggested I have a hysterectomy. What do you think?
Thank-you
Justybugs

Dear Justybugs-
Your symptoms are classic for adenomyosis-which is endometriosis of the uterine muscle. This can be very painful and produce heavy bleeding with clots. You are a perfect candidate for FAS-we would remove your fibroid(s), both cysts and remove and treat the possible adenomyosis. I do not recommend removing your uterus-there are too many potential post hysterectomy complications. Please call my office if we can help you. Good Luck