This has been happening for the last 4 months, I have been getting a very small amount of blood after even slightest exercise. I have history of 2 fibroids, one 2.6 in length, another 2.1. My uterus has been at 9-10 cm range over the last 2 years. Most recently the uterus shows heterogeneous and shows fluid in lower uterine/endocervical canal. Ovaries are at 4.4x2.5 and 3.9x2.4. The endometrium is 12mm! Over the last few months I have been experiencing swelling about 2 inch from belly button that extends above belly button and below, also swelling outside of hip on the R side and coming and going swelling along the iliac crest rim. I believe my upper thigh my also be enlarging. I have history of enlarged groin lymph nodes due to prior rare yeast infection that is no longer active, but I'm considered colonized, some are at 2cm or close to it and have been like that for the past 2 years. Also the fibroids distort the endometrium. No biopsy yet, but considering either biopsy or MRI. Can distortion of endometrium cause the bleeding and can the fibroids be cause of the swelling on the R side I'm experiencing? I'm 40 and my last ultrasound was done mid cycle which can explain little bit the size of endometrium. Any advice? Can pipelle or Tao brush biopsy check for anything other carcinoma?