I have severe abdominal bloating, weight gain and cramping after sex, orgasm, and during ovulation. Lately, I will gain 7-10 pounds in mostly in my abdomen a little in my feet and then within a week its gone. I do have a history of heavy periods, and fibroids. I am female, 44, ht 5,9, wt 190. I have seen my PCP about the complaint because the off and on abdominal bloating has my stomach looking like a round hard basket ball. Tests for STD's, constipation, FSH, CBC, and BMP are normal.I have no other medical and I have suspected endometriosis for a while, what direction should I go in first to find out my diagnosis and treatment options. I pay for my insurance out of pocket so I do want to go on an unnecessary hunt. Example: if an ultrasound would tell all then I would rather do that then pay for a bunch of tests.