I am 24 and have been having gynecological complications since I was 12 (just months after starting my period). For the last 12 years I have already had two surgeries for the treatment of endometriosis and ovarian cysts. I have never had a painless period and am only 'regular' when I am on the continuous pill. For the most part I have been able to manage my issues with a strong dose of faith and persistence to get better. Unfortunately this doesn't always seem to work. For the past 2 1/2 years I have been seeing a reproductive specialist (exclusively) for all my gynecological issues. However just recently I have begun to worry again about my health. Despite all my earlier issues I have never had an irregular pap smear. My last annual was a month ago which included a regular Pap smear. At the time of the exam I felt my regular pelvic pain but was pretty sure I was normal. During my exam my doctor noticed that my cervix was very inflamed (which made the exam difficult - particularly because I began to bleed as soon as the speculum touched it). Once the bleeding stopped (which took lots of effort) the exam continued, and included a transvaginal ultrasound. Although I am no expert to reading sonograms, nor am I trained in it, I could very easily see that my left ovary was larger and different colored and shaped than my right one. My doctor said she wanted me to monitor my health and to come back in 2-3 months for a check up. Since my exam I have continued to have more and more symptoms and discomfort - particularly on my left side. More alarming is that my symptoms seem to mimic both ovarian and cervical cancer. I have also noticed a great deal of bloody discharge. I have phoned my doctor, whose nurse insures me that my pap came back normal and that my symptoms and discharge are only related to my endometriosis. While I trust my doctor I am wondering when I should worry - and what I should do next?