I saw my GP yesterday about different hormone treatments to slow/stop my endo coming back after surgery. The gynae team who did my lap were really persuasive about the importance of using some sort of progesterone-based treatment, but my GP is a bit more nervous about it because of my history. I can't take the combined pill because I get migraines. I can't have the depo injection because I had anorexia in my early 20s and my bones are already thin. My GP is worried about all the rest - the mini-pill, mirena, zoladex, etc - because of the potential impact on my mood. I've had depression on and off since I was 11 and it's been serious enough for me to be hospitalised a few times, so I'm really scared of destabilising my mental health, plus I'm really sensitive to side effects in general.
The surgeon found and removed a bigger nodule and some scar tissue from my Pouch of Douglas (Ouch of Douglas, amiright?!) alongside more minimal endo in a few other places. I think that nodule may have been causing 95% of the pain because the most debilitating symptoms I had were bowel-related, but my surgery was only two weeks ago so I'll have to wait until everything is properly healed to find out. I'm really tempted to just wait and see how long it takes for the pain to return and then push for surgery again rather than take anything to actively stop more endo forming, but I know the gynae team won't be happy about that. Am I being really irresponsible if I avoid hormonal treatments? I might be making more work for my surgeon later on, but then I might just end up making more work for the mental health services if I do take them!
I think I'm mostly just looking for people to tell me my decision is okay! Bit pathetic really, I'm 31 and should be able to make and defend decisions about my body, it's just a bit difficult because I still don't know much about endo so I'm not really confident that I can make sensible decisions yet!