Endometriosis Support Group
Endometriosis is a common medical condition where the tissue lining the uterus is found outside of the uterus, typically affecting other organs in the pelvis. The condition can lead to serious health problems, primarily pain and infertility. A major symptom of endometriosis is pain, mostly in the lower abdomen, lower back, and pelvic area.
It is possible that your endo is coming back, especially if it was ablated.
My suggestion would be to looking into seeing an excision specialist, not just someone who can do excision, but one who sees many endo patients on a consistent basis and experienced in excising endo.
With the type of tumors that you have it doesn't sound like you will be able to have too many options with hormones. An endo expert will be able to remove the endo with a much lower chance or re-occurrence. I think some of the experts are reporting reoccurrence as low as 5-15%, and this is without the use of hormones after surgery.
Some of the top endo specialist that come mind are Dr Robbins in ME, Dr SInervo in GA, Dr Koh in WI, Dr Cook in CA. There are few more, (some in NY, one in WA, another in TX) but that's what mind is coming up with right now. Some even offer free case reviews and depending on your insurance you may be able to get a surgery covered with them as in-network.
Im sure you are wondering why I would say surgery as my advice to you, but with an experienced endo surgeon that is your best bet with treating endo, especially since you can no longer use hormones.
Im sorry you are having a hard time with your period. :-( Best of luck with your new job!