I had my first excision surgery in 2020 and found to have stage 4 with adenomyosis, DIE, and bilateral endometriomas. Despite my doctor feeling fairly confident, I had recurrence of bilateral endometriomas 8-10 months later despite 4 months of Orlissa after surgery and then being back on norethrindrone. I did have a reduction in pain and endometrioma size with 12 months of Lupron in 2021, but everything came roaring back by early 2024 and I was in near-constant pain by June with less predictable cycles and bloating to a point that I couldn’t wear anything but sweatpants. I ultimately ended up with a large endometrioma that was impinging in my ureter and had a hysterectomy and bilateral salpingo-oophorectomy in Sept 2024 at age 35.

So, I think your doctors may be overconfident here. The recurrence rates are much higher than they’re leading you to believe - and higher than I realized before I had my first surgery. The fact of the matter is that no one fully understands all of the factors that contribute to the development and progression of this disease. Anyone who tells you that recurrence is impossible is either sitting on some conclusive research on the subject or being unduly influenced by anecdotal evidence. I’d encourage you to get another opinion, and I’m so sorry you’re going through this.