Stage 4

Hello, I have stage 4 endometriosis, and I’m looking for medical advice. I had surgery in 2023 to remove deep-infiltrating endometriosis, including adhesions found across my pelvis. After the surgery, I was treated with 6 months of Diphereline (GnRH agonist), and then I started Microgynon (combined oral contraceptive), which I am still taking. At first, Microgynon helped with pain, but in the past few months my symptoms are returning and worsening: constant pelvic and lower back pain, radiating into my hips and legs; severe bloating (even after drinking water); painful bowel movements, almost every time; heavy fatigue, even after resting; occasional pain in the ovaries and uterus; and emotional exhaustion due to pain and fear of being dismissed by doctors I’m worried that adhesions have returned and possibly worsened. My cervix is now difficult to locate during exams, and one doctor said it is shifted toward the bowel. What would you recommend as the next step? Should I push for an MRI? Could another surgery be necessary? Thank you so much for your time and help — I’m doing my best to manage, but I need proper medical direction.