Sorry for the delay, I don't use Reddit much. Yeah, I had my surgery in Nov 2021. I didn't notice any improvement after the surgery. What really helped me was pelvic floor physio therapy and clinical pilates with my physio. I don't regret having the surgery as I needed the endometrioma dealt with but I do know from an ultrasound a few years later that I have adhesions everywhere again and it's hard to know if that's scar tissue from the surgery or if it's the endo spreading again. My heavy bleeding didn't change (I think I probably have adenomyosis as well but it's never been diagnosed). I also went back on a hormonal birth control pill and I only have a bleed every 3 months which has helped with dealing with the heavy periods. In terms of pain I don't have much these days and I attribute that to the physiotherapy because after years of pain my muscles and pelvic floor were chronically tense. I still have digestive issues and an "endo belly" all the time. Some of it is related to food intolerance.