Does anyone have any recommendations on pain relief. I was diagnosed a year ago with stage 4 endo after a lap. I was put on 6 months of Decapeptyl injections which worked brilliantly. I came off the injections in the summer so I could start Ivf treatment but have to be honest I'm struggling to cope with the chronic pain that has come back. I can't remember the last time I had a good nights sleep, I hardly have the energy to exercise anymore, going to work is horrendous as I can't concentrate and my sex life is none existent. If I constantly take a mixture of ibuprofen/paracetamol with the odd tramadol thrown in I can just about get through the day. I'm worried though that my body will become immune to this routine and then the pain will come back. What works for you?