hello, I am a 29 year old female gravida 3 para 3 who has been having a range of symptoms of abdominal fullness, pain and discomfort for months. I have always had heavy painful menstrual periods with clots. Over the last few months my period has become irregular and I spot more then a usual flow. Recent ultrasound found a 2 cm solid nodule to left ovary as well as a prominent 2cm endometrium. What should the next follow up be? And what could I be looking at in regards to diagnosis?