Hello,
If ultrasound has ruled out
ovarian cysts then it is important to rule out any
endometriosis or adenomyosis. Although ultrasound is useful in diagnosing endometriosis, but still cannot definitively diagnose endometriosis. Laproscopy is the only accurate way of diagnosing endometriosis. Treatment involves NSAID pain killers, GnRH analogs, oral contraceptive pills, progestins and surgery.