General enquiry about my endometriosis

In 2008, I had right side pain, and I was on my period. I went to the emergency and they told me it might be appendicitis. They removed it, but it was not inflamed that what they told me after surgery. After years from suffering from pain, I was diagnosed with deep pelvic endometriosis stage 4 in 2019, when I had my first C-section surgery and lost too much blood, I got a blood transfusion after surgery. After surgery, I was not okay, then I had to go on Vissane for ages until I got married, and then I stopped it. I tried getting pregnant naturally, but it didn’t work. My AMH was only 0.02, and my doctor recommended IVF, although I had my left tube removed and my left ovary as well and I only had ruminant of my right ovary. After that, the pain came back, and I was always in pain. Then I had my laparoscopic surgery in Dubai. After surgery, they pain was very bad and I was always at the hospital. I decided to get pregnant via IVF so I started my ovf cycle after a failed cycle, and I got only 4 eggs a. 2 which were. Healthy transferred to me and I got pregnant with twins. Now I have two babies. I just had an MRI because I had right side pain. They said I have a hemorrhagic cyst, adenomyoma, frozen pelvis, my rectum stuck, and my ureter is stuck in my ovary. What do you recommend, surgery or medication, because my gyn said take Vissane again.