17 year old daughter and possible endometriosis

Hi,

I am looking for advice on how to proceed with my 17 year old daughter. Just yesterday, her gynecologist (who I respect), told me their was no medical value in a diagnostic laparoscopy.  We are so confused on how to proceed. She is suggesting we combine hormone therapies at this point.

Brief medical history


~ age 11/12, missed days of school due to abdominal pain.  I realized it was every 30 days each time even though she hadn’t started period..  Pediatrician said it was her body gearing up to start period

-around this same age IBS symptoms started

~age 13, severe abdominal pain after running in school or soccer

-around 14 started period

-IBS symptoms intensified during periods

~heavy periods with clots

~cramps that Midol doesn’t always relieve

~side pain during ovulation

~cramps start a week before period

~back pain

~bloating

1st gynecologist

-talked a few minutes then gave samples of 4 birth control pills and said try these until you find one that works

2nd gynecologist

-bloodwork

-vaginal ultrasound that showed dip in uterus and ovarian cyst

-prescribed 1st birth control, combined hormones. This made her bleed heavily a couple of weeks

-prescribed 2nd birth control, high estrogen, to stop bleeding that made her throw up all night and the next day

-prescribed 3rd birth control, low estrogen, that made her wake up nauseated most nights and some she would wake up  up late night to early morning to throw up

-prescribed progestin only birth control that made her bleed 56 of the 69 days she took it

-lack of appetite and loss of ~8 pounds

-side pain has continued through all prescriptions

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