A scan should show up a significant cyst (>4cm or so). If no cyst seen the pain could be normal for you around the time of ovulation (mitttleschmirtz) or endometriosis.

Hi Firstly you say acidic - not sure what you mean there but tell me more Secondly, your UTI symptoms may be due to a chronic inflammation of the bladder, which may warrant further investigation and/or longer term treatment with antibiotics. Thirdly, the pain on intercourse: if on the outside may be...

Yes, definitely, seek a referral. The weight loss is great, that will help a lot in managing the symptoms in the interim. However, while waiting for your appoinment to come through, your blood pressure also needs treatment!

Probably a benign sebaceous cyst, but have it checked out to reassure yourself

Yes I would repeat the scan and perhaps hysteroscopy. If you are unhappy with the Mirena, I would consider removal too.

Firstly, if you are not sexually active being exmained and swabbed isnt going to help. You need examination under anaesthesia in case of any other problem higher up the vagina, which could be linked to the imperforate hymen. The pain may be a separate issue, and warrants a scan.

A re-scan should be arranged first and have a think about your contraception needs and fertility plans, before discussing with your gynae surgeon the need for a repeat laparoscopy. A lot of pain can be due to adhesions, from the surgery or the endometriosis itself...

unusual problem but there is a lot of information online about this...

yes i would suggest a laparoscopy and hysteroscopy with polpypectomy to your gynaecologist - they will be able to handle that!

you smears do need to be monitored yes.

none of the treatments you need or could use are irreversibe so fertility is not an issue

That HCG level may mean an early pregnancy OR persistent tissue left over from the miscarriage - it needs investigation, with repeat hcg levels and another scan at least a week apart.

The progesterone level may mean early pregnancy or normal for your stage of the cycle.