GI Symptoms and Endometriosis

I have endometriosis, including deep endometriosis on my rectum, and had surgery in 2023. I have really slow motility and constipation occurring everyday and heightened with my cycle. My recent MRI results say: ** FINDINGS: Impression Possible deep infiltrating endometriosis at the torus uterinus measuring approximately 0.5 × 1.1 x 1.1 cm and contacting a loop of small bowel. Mild T2 hypointense thickening, which may represent deep infiltrating endometriosis versus postsurgical changes with blood products/scarring at the bilateral uterosacral ligaments. I contacted my GI and OBGYN regarding my results to see if they thought scar tissue and/or endometriosis in the MRI could be contributing to my symptoms of significant slow motility and constipation. They stated that those aren’t symptoms of endometriosis, and they wouldn’t anticipate endometriosis, if present as indicated in the MRI, to impact those symptoms. I previously understood that endometriosis could significantly impact the GI system and contribute to IBS symptoms such as constipation. Is this true? Could endometriosis and/or scar tissue contacting the bowel contribute to my symptoms that are not helped by medication?

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