Endometriosis

I had laparoscopic surgery with my gyn in January of 2025. He removed an endometrioma on my left ovary and endometriosis on my uterus, bladder, fallopian tube, ovary and colon. From my understanding, he did a combination of excision and ablation. His reasoning for the ablation was because I was bleeding so much. 4 months post surgery I am still having burning with urination that is triggered by my period. I had this symptom before surgery as well so it has not improved. I started the birth control pill in February, following my surgery, and that hasn’t seemed to help the urinary stuff either. I have seen a urologist and we were able to rule out interstitial cystitis because my bladder scope came back clear. So it seems like the urinary pain is connected to my endometriosis. Another thing I’ve tried is pelvic floor PT, and that hasn’t helped either. I just feel at a loss, I’m not really sure what to do. Tried to follow up with my gyn to further investigate and he just said probably another surgery. Would continuous birth control make a difference since it is triggered by my period and hormones? Just super confused on where I go from here.

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