The MRI confirms a typical mushroom-shaped rectosigmoid DIE (bowel endometriosis), under-measured on MRI due to imaging planes (42 mm on TVUS). This fixes the bowel to the cervix/vaginal vault/multilocular right ovary endometriotic mass and is a likely cause of the post coital PV bleeding and deep dyspareunia. The right ovarian tissue extends towards the common iliac artery bifurcation and there is adjacent small bowel tethering and a second 11 mm endometriotic cystic mass. No upper abdominal endometriosis is identified.