How did you choose next steps after failed endometriosis laparoscopy?

[JasonUS]

After over a decade of being dismissed for severe menstrual pain, I was finally diagnosed with endometriosis via laparoscopy last year, which confirmed extensive lesions. While the surgery provided temporary relief, my debilitating pain and fatigue have returned with a vengeance, and my gynecologist is now discussing more aggressive options like hormonal suppression or a second, more extensive excision surgery. I'm feeling lost and scared about making such a significant decision that will impact my fertility and long-term health. For others who have navigated this crossroads, how did you decide on your next steps after a first surgery failed to provide lasting relief? What factors did you weigh when considering another surgery versus long-term medical management, and how did you find a specialist you truly trusted to handle the complexity of your case? I'm also desperate for any non-surgical pain management strategies that have offered you real, daily relief.