Surgery for stage4 endo

[Bluehaze123]

Hi,

I am scheduled for my second lap for stage4 endo. MRI suggestive of deep bowel endo, adhesions, adenomyosis and endometriomas. An IUD or an iral hormone pill, which would be better medication to continue after surgery? Right now i am on a dienogest from 6 months. Anyone with same experience? Any recommendations?

Thanks much in advance.