What does a hard nodule between vagina and rectal wall indicate?
Thanks for writing to us with your health concern.
From your description ( the lesion shrinking after endometriosis surgery and getting enhanced post skipping your hormones ), it does sound like an endometriotic deposit.
The location is also typical of an endometriotic nodule.
If you can feel it, it HAS to show up on imaging - MRI is better than a CT scan for endometriotic deposits.
I think the replacement hormone therapy would take care of it.
If it does not, it can easily be biopsied to rule out cancerous changes.
I recommend having your gynecologist confirming it clinically as endometriosis, and MRI followed by a biopsy if necessary.
Also, Urethral dilatation can be done under local anesthesia, hence anytime.
THe shoulder surgery can be taken up anytime after fitness is ascertained.
If the nodule mandates a surgery, you can opt for general anesthesia wherein all 3 problems can be dealt with simultaneously.
All the best
Please feel free to discuss further.
You did not mention that you physician could feel it.
If she can, that is what I wrote, that she should clinically confirm its diagnosis, and go for MRI / biopsy ONLY IF required.
Also, if the diagnosis is endometriotic nodule, biopsy is unnecessary.
It is only when clinical suspicion or MRI findings raise another diagnosis, that biopsy would be in order.
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