I went to see my doctor recently to try and get some answers (having previously been diagnosed with PCOS). Been on the pill 8 years to combat the pain, but had much more severe pain developing over the last couple of years (including severe pain on urination/defecation during periods which I thought may be due to adhesions). The doctor took a full history of my symptoms and did an internal exam to check to see if she could feel any cysts(?). Initially she said she might send me for an ultrasound but after the internal exam she said she couldn't feel anything abnormal so she didn't feel an ultrasound was needed.
She said she was confident enough to diagnose my with endometriosis from my symptoms, and she said to take three packs of the pill at a time so I would have less periods. She said if I could manage my symptoms well enough then assuming my risk factors didn't change, I could continue to do this until menopause (I'm 27 and don't want kids). I am ok with this for now, but I don't know if I am doing myself any harm by not having further investigations at this stage - I know there's nothing to be done anyway except surgery to remove adhesions/hysterectomy (which does not stop symptoms for some people anyway??) so I guess it's just a case of trying to get through it til I hit menopause? Should I be pushing for anything else?