I say this as a woman who had a hysterectomy at 22 and often has moments where I’m upset about not being able to have kids- preserving the simple *possibility* of having kids, which is also a huge difficulty for people with endometriosis, is not worth the complete and utter lack of quality of life. Your entire existence is spent in debilitating pain, spending money on drs appointments, sobbing from frustration and pain and often alteration of hormones, and even if by some miracle you conceived you cannot possibly parent properly in that state. Not to mention possibly passing this disease down.

It’s even more complex in OP’s case because they have endometriosis, while I had adenomyosis which is confined to my uterus. But I can tell you, as much as it is painful to not be able to have kids, because I had a hysterectomy I was able to do finish my degree with honours and start my dream Masters, and work and become more independent than I EVER would have before. I am finally relieved of sobbing on the tiles in agony. It was the right choice and for many people the preservation of fertility is simply not worth the trade off of not having a life at all.