Good Day, Doctor: I am 44 years old, black female - 5ft 6ins tall and weighing app. 210lbs. I usually have irregular menses and in latter years began to experience heavy painful bleeding. I completed a myomectomy in 2008 to remove an 8cm leiomyoma , which on sectioning revealed the typical white whorled cut surface. P/E (2) 1 cap . Ever since the surgery I have experienced itching around the incision area and have been also experiencing severe pain in the incision area; which also has a lump, measuring about 2ins in diameter. The pain is experienced during and after my menses up to about 2 weeks after - the pain gives a sensation of skin being stretched and a heavy soreness. For the next week after that it s just intense itching until my menses start again. My menses are more or less very regular (21 days or less) with the first day in to the second accompanied with very heavy bleeding. Usually after the 3rd day it s very light up to about the 5th or 6th day - when it ends. I have been to an oby-gyn who made me complete a pelvic ultrasound (transabdominal and transvaginal ) which according to the doctor resulted in normal findings. I have recently been to another doctor who informed me that I may require another surgery because he suspects that that the endometrial tissue have ruptured, causing a hernia to develop (maybe because I do a lot of lifting at work - up to about 40lbs). This does not affect my bowel movement , as my doctor had enquired, as I have a regular one every morning. I am afraid of going through another surgery - what is your opinion, Doctor?