question: Hello doctor, I have endometriosis, diagnostic or excision lap was done three years back. Recently I have had GI symptoms including extreme pain on defecation, rectal bleeding with a period, and tenesmus. Last exam showed a nodule in my vaginal wall and ultrasound showed left ovarian endometrioma. About a week ago I noticed my vaginal walls seemed to have collapsed so that they are both bulging and pressed together. I felt inside and noted that my cervix was about 1 to 2 inches past the vaginal opening and it is sideways, with the cervix opening to the right side. Does this sound like a rectocele or is it possible that my uterus has tipped over or something? I am not sure what to do as it is very difficult to get in to see my gynecologist. Please help. Currently, I am taking Dienogest 2 mg OD, Taro-Tramadol ER 200 mg OD, Apo-Tramadol 50 mg Q6H PRN, Paroxetine 20 mg OD, Lorazepam 0.5 mg SL PRN.