Chronic inflammation not endo

Much more likely it is a build up of adhesions or scar tissue Which could either have been triggered by endo (old or current) but is more likely to be the by-product of the surgery scars to remove everything. In some people it can become necessary to have surgery to cut back adhesions- but quite honestly each surgey just encourages more of the wretched adhesions to form so this is not a solution - just a temporary fix.

If any endo was left behnd, and you are taking HRT then that is enough in the way of hormones to keep that endo active....and it will cause irritations when it bleeds and those irritations on other tissue that the blood lands on can develop adhesions to protect itself from further damage in the future.

It can get painful- if it does and it gets beyond the help of regular pain killers then it is worth considering requesting your GP refer you to the hosp for a discussion on what youwant to have done to the adhesions, but on the whole there is nothing much can be done except put up with it.

It may be that a specilist exercises program may help gently stretch the adhesions so they are not sticking things quite so tightly together and there are various homeopathic ideas for tackling adhesions. I haven't really looked in to any of them enough to comment on how effective they may be, but it is a common issue for anyone male or female to be plagued with post op adhesion issues in the tummy region specifically.

If you do think it is the endo- then a quick trial of stopping HRT for a few weeks to see if that eases off the pains will be a good indicator as to whether the endo is active from taking HRT in which case surgery to remove the last active bits of endo might be worth considering. It is certainly not a good idea to stay off HRT when you have lost both ovaris, but a trial run shouldn't do your body any long term harm.