<s>[INST] Hi, recent blood test showed rare tear drop cells, rare ovalocytes, slight microcytosis, slight macrocytes, I went in to the ER with a possible ruptured ovarian cyst last Thursday, US showed a 3.2cm complex adnexal reticular hypoechoic mass and free fluid, possibly endometrioma. My Dr wants to sit and wait, I want to get this out. Hysterectomy 5 years ago from endo, (Adenomyosis) Thoughts?, feeling very tired and in pain. Loss of bladder control, groin pain and back pain for 2 months prior to ER visit, affecting my running (half marathon runner) Groin pain for 1 year prior to ER visit. [/INST] Hi, dairy have gone through your question. I can understand your concern. You may have chocolate cyst(endometriosis of ovary). You should go for surgery and removal of that. Your blood picture suggests mild biomorphic anemia. It means you may have mild iron and vitamin B 12 deficiencies. Check your Iron and it b12 level and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. </s>