How do you and your doctor choose long-term endometriosis treatment options?

[Layla70]

After years of being dismissed, I was finally diagnosed with stage two endometriosis via laparoscopy last year, and while the surgery provided relief, my symptoms are gradually returning. My gynecologist has presented me with a confusing array of long-term treatment options, from continuous hormonal birth control and progestin-only therapies to a second, more extensive surgery or even considering a GnRH agonist, each with significant side effects and implications. For others navigating this post-diagnosis phase, how did you and your doctor decide on a management strategy that balanced symptom control with quality of life, and what has been your experience with the effectiveness and tolerability of these different options over the long term?