I am a 46 year old woman who has had two full term sucessful pregnancies in 87 and 89. Post delivery of second child I had a tubal ligation. In 1998 I was diagnosed with adenomyosis and had a hysterecomy to remove my cervix and uterus. Two years later I developed salpingitis and had my fallopian tubes removed. In 2000 I was diagnosed with IBS after tests could prove nothing else to be causing cramping pain. Most recently I had severe chest pains primarily on my left side radiating under breast bone and in to my back. After a battery of test to rule out everything else I was told I had a case of chostocondritis due to an injury ( I don't recall having an injury occur). I have also always had pain during ovulation as my ovaries are still intact and I am not premenapausal at this point. The pain during ovulation (as I am to assume it is ovulation occuring about every 28 days) has become more intense and lasts longer. In the last 6 months I have begun experiencing pain during sex. I schedule an OBGYN appt after ultrasound proved my ovaries were fine I was given 3 options. 1) birth control, 2)an expensive injection once per month, something which most insurance companies do not approve. and 3) laparoscopy. The first two were to eliviate endometriosis however the diagnosis is not confirmed. It is possible since I had adenomyosis I could also have endometriosis. The last would be to confirm this. It is obvious that number 3 is he most practical however he informed me he may not find anything. He also mentioned something referred to as mid cycle pain. There is no known cause for the pain. I am in the wait and see game right now in hopes it is the last and that it is primarily a matter of avoiding that time of month for sex. However after reading a recent article stating that the two can be connected endometriosis could cause adenomyosis and that a misdiagnosis of pelvic inflammatory disease and IBS are not uncommon. This article also stated that endometriosis left untreated can break away and not having a way to exit the body can form together in other areas of the body as a cyst. I am starting to wonder if all these ongoing undetermined issues that are diagnosis with "well if it isn't anything else it must be this diagnosis" may indeed be caused in the long haul by an ongoing issue with an underlying non visable problem with endometriosis. Does anyone have any further information about the connection between adenomyosis and endometriosis. And/Or has anyone else ever experienced a similar issue.