Figure.2

Unfortunately, tertiary referral was declined because both parents are active smoker. Smoking cessation advice given.

She then present back to general gynaecology clinic in 2020 with chronic pelvic pain on the left side, dysmenorrhea and menorrhagia. She was booked for diagnostic laparoscopy and dye test. While waiting for the operation, she had repeat pelvic ultrasound (Figure. 3), which showed a linear, highly reflective structure within the endometrial cavity adjacent to the cervix 18mm x 3mm ?foreign body. Evidence of adenomyosis noted and the endometrium looks normal.