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Hello, this is Dr K.. Answers are not medical advice and do not constitute a doctor/patient relationship. I look forward to helping you today.
If you are menstruating an endometrial stripe of 14 mm is not abnormal in any way
The pain you are describing could be ovulation. It would not show up on an ultrasound because it is not abnormal and would be over on day 23.
In addition, a normal follicle would not be read on the report as abnormal
Often women who have very painful ovulation have endometriosis or another underlying problem. It may be time for a diagnostic laparoscopy. If you have not seen a gyn surgeon who does surgery, that would be a good option.
The pill is actually the first treatment If you have not tried that at all, you should try it first.
Yes endometriosis is found by laparoscopy which is why I suggested it, but you should always try the pill first