Since you have already had all the primary medication that is given for suppression of the symptoms of endometriosis
, you may now go for the hormone analogues, Danazol
therapy or progestins; surgical treatment
can be conservative and includes ablation of endometriotic tissue, or radical that includes removal of uterus
and adnexae. If you are refractory to any of the medical treatments and are very much incapacitated by your pain, it is advisable to go for surgery. As even surgery has a recurrence rate of 40%, it is better to have a radical procedure as you do not wish to have any further children. Risk of the procedure is the same as in any other surgery and results are fine when done in expert hands. So do not hesitate to go for an opinion with your doctor. Good luck.