Two years ago I was surgically diagnosed with endometriosis at age 19. The intent had been to cauterize any lesions, but the laparascopy revealed only one lesion inside of a fallopian tube, and my OBGYN determined that cauterization would compromise my fertility. My doctor and I agreed that it might be possible to control symptoms and potential worsening by continuing my oral contraceptives and reducing the number of periods I have. Since then, however, my symptoms have worsened. Urinary and bowel symptoms have also emerged. My doctor suggested that I eliminate my periods altogether by skipping the placebos in my birth control, but she also put Lupron (to which I am vehemently opposed) and a second surgery on the table. Recent breakthrough bleeding accompanied by intense pain has made me consider a second surgery, but I'm not entirely sure I see the value. Does endometriosis frequently spread from organ to organ? Could there be new lesions, getting rid of which might ease my symptoms? I'd be sort of embarrassed by going to all the trouble of surgery, only to find that the one little spot is still the sole culprit, and that there's nothing to be done. Has anyone had a similar experience? Is a second surgery overkill, or does the fact that the endometriosis can 'strike' at any time whether or not I'm due for a period indicate that it's getting worse? These are questions I'm finding difficult to research.