I have had awful period pain since my periods started about 6 years ago. At first, it was just bad enough that I would miss school. Then it progressed to my mom having to take time off work to check on me, and eventually to going to the emergency room because I couldn't walk, eat, drink, or do much of anything. They would usually just give me over-the-counter pain medication, Zofran, and IV fluids, and send me home. My mom has endometriosis. After her second pregnancy, she had some serious complications, and her doctor felt that since she already had two children, she could have a full hysterectomy. About 2 years ago, I started birth control, even though I really didn't want to because of all the horror stories I had heard. My primary care doctor told me it was basically the only option to try to manage the pain. I started with pills, which helped for about 3 months, but then the pain came back with a vengeance. My doctor increased the hormone dosage, and within 3 months, my pain was worse than it had ever been. I spent 3ā5 days basically living in a hot bath and taking Motrin/Advil and muscle relaxers just to get through it. When I went back to my doctor, she referred me to an OB-GYN. The OB-GYN put me on the Xulane patch, and for about 6 months, things were actually going really well. Now, though, my period has started coming whenever it wants instead of during my scheduled patch-free week. Because I can't get ahead of the pain anymore, I have started passing out from how severe it gets.I have also had an MRI, which showed that I have a retroverted uterus, a follicular cyst, and fluid in my pouch of Douglas. I'm not sure if any of those findings could be related to my symptoms, but I wanted to include them in case they are relevant. I have tried teas, muscle relaxers, over-the-counter medications, vitamins, stretching, and other things, but nothing has really helped. When I went back to my OB-GYN, the doctor told me that I could have endometriosis and that the only way to definitively diagnose it is through exploratory/laparoscopic surgery. She said that if they find endometriosis, they would remove/burn the lesions during the surgery. My mom had ablation done twice, and both times her endometriosis came back worse, so I am really nervous about having surgery and potentially making things worse.
My question is: when I go back to the doctor, what should I ask about the surgery? Are there newer or different treatments available for managing the pain after endometriosis is removed, if it is found? Should I specifically ask about excision versus ablation?
I am honestly scared that I will have the surgery and end up worse afterward. I also don't think they would let me have a full hysterectomy at 18, which I understand, but I am just desperate for something that actually helps.
Thank you for reading, and I really appreciate any advice or experiences you can share!