### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Good afternoon. Ive had several years of painful cramps. I had adenomyosis and endometriosis. Ive had my right ovary removed in 2008. Then 2009, I had a supracervical hysterectomy, which was great. I started getting more cramping and I had my cervix removed in 2012. I still have my left ovary and continue to have bad cramps, as if I am on my period. At times, I have spot bleeding. Ive had UTIs with blood in the urine. The doctor will refer me to an urologist, but nothing comes up on a CT scan of my liver. Everything is ok. He thinks that maybe I should get my ovary removed. What do you think?

### output:

Thank you for consulting with Chat Doctor.I'm sorry to hear about the pain you suffer during your menstrual cycles. Endometriosis is a disease which could happen anywhere in your body. The tissue responds to the hormones from your ovaries and bleeds once in a month like it happens in a menstrual cycle. If you are having blood in urine on monthly intervals it could very well be an endometriosis occurring in your urinary tract. And if it is endometriosis removing the ovary is an option. If the site of endometriosis is removable surgically its removal also may cure your condition. Blood in urine can also result from other causes like stones, or any ulcerative growths. A physical examination and imaging studies are mandatory to rule out the conditions. You also have to check the cytology of the urine. Consult with your urologist, and he will do the necessary investigations. Please revert with further details.