Welcome to our world.
I was 43 when endo diagnosed during op, and I also had left ovary and tube removed (Phew) and 2 endometriomas and was stage 4 endo on everything by that stage of my life.
Basically you need to consider what is the biggest problem for you once you have recovered from the op.
If it is painful and or heavy periods that are the main problem and really that's the only time you are having problems then you should look to be stopping your periods.
Either through birthcontrol pills, or the mirena coil etc
I had the mirena put in during my op, and it does take around 5-6 months to kick in, but it often stops or at least reduces periods considerably once it gets going.
It can then last anything up to 5 years, and you don't need to take tablets every day for periods, just let the mirena do its job.
It doesn't suit everyone but it is certainly worth trying if you haven't done so yet.
I found it liberating to not have to worry about having a period, when it would start, how long it would last, how heavy it would be, carrying pain killers with me at all times just in case.
I also found over the years i was getting increasing pains when I ovulated too, and the mirena stopped those as well.
Endo is very common, and i bet you do know people with endo symptoms, even if they don't shout it from the rooftops. up to 20% of women have it, but most don't have that many symptoms or even know they do have it ! Heavy painful periods is usually kept quiet and women try and 'get on with it' s best they can, thinking it's 'normal'.
If your main issue is bowel or bladder problems, then they are usually cause by endo growing on or near those organs and from the wounds caused by endo the body grow scar tissue, and for some of us that scar tissue doesn't know enough is enough and it keeps on growing till it sticks or adheres to nearby organs or grows around them contricting them. Theses are gluey strands of scar tissue called adhesions and they are a royal pain in the you know what.
There is no cure for them, because they are the body's natural defence against further injury or trauma, so if they have got to the stage where they are interfering with bodily functions, or they have glued your organs together to such an extent that they are what is causing your pains then you need surgery to cut them back, but with each surgery it encourages more of the wretched stuff to grow.
There are specialist endo centres around the UK, plenty in the south, but few and far between elsewhere in the country.
Each of these accredited endo centres has specialist surgeons on staff to handle bowel and bladder endo, which can mean significant surgery.
Your gynaecologist or your GP can refer you to one of these endo centres if you do require specialist surgery on your endo.
The website is
If you find that having that cyst taken out and the rebellious ovary taken out actually improves things for you in a big way, then you might not want to do anything different to what you were doing before you found you had endo.
e.g. coping with periods and taking over the counter painkillers.
Or you might want to have some stronger pain killers on prescription.
In my case I was getting through far more paracetamol that the daily maximum recommended dose on a few days each month and I was very relieved to be upgraded to a stronger pain killer on prescription that I only took one in the morning and 1 in the evening instead of 4 paracetamol every 4 hours or so. Which was getting ridiculous.
It is your choice what to try and what not to try. Don't be forced in to taking any treatments without reading up all the patient advice leaflets first. So if you are given a prescription for a new drug, before you exchange the prescription for a drug at the chemists, google the name of it and read up on it. Make sure it's something you are willing to try before you spend your money. Any questions about any of them, ask on here, there's bound to be someone stopping by on the forum that has tried the drugs you have been prescribed.
Another option if your pains continue post op, and hopefully they won't, is to try altering your diet to see what foods make your pains worse.
there is a diet called the endo diet, which basically tries to cut out the foods that promote your body to produce oestrogen the hormone that feeds the endo and helps it to bleed each month which causes pain.
Many ladies have cut down their pain levels simply by cutting out certain foods.
Gluten/Wheat seem to be big culprits in pain, but it's about trial and error seeing what does and doesn't work for you. So it's something to be trying over a long period of time.
Keeping notes in a book about what you ate and when, and what effects it had on you and your pain and your digestion.
It's not a diet that means you definitely don't touch certain foods ever again, but if you know what can make the pain worse then you're more likely to avoid those foods.
It's tricky to balance that, with having a healthy varied diet. With endo, your body is constantly battling internal injuries, and that process can be physically exhausting without you even being aware of what's going on inside. You might not have much pain, but could be shattered most of the time. It's important to look after yourself, sleep if you have to, medicate if you have to, don't over do it.
Exercise should not be too strenuous, as excessive strain on your tummy area from some sporting activities will injure an already injured tummy and promote yet more adhesions to grow, however some exercise is beneficial, just keep to the gentler kinds to avoid making things worse for yourself.
Please don't panic about endo, each and everyone of us has a different set of endo symptoms to anyone else. what works for some doesn't work for others. there is no cure, but there are all sorts of things to try and keep the symptoms under control and make your quality of life better.
There's no immediate urgency to try anything yet. First thing to do, is get yourself well after the op. It might feel like your insides are all falling down each time you stand up so be gentle with yourself, your organs have been poked prodded cut about, probably lasered too, and certainly pushed out of place by the cyst and the op. so it will take time for the organs remaining to settle back in to a comfy place again.
Give yourself a good few weeks before undertaking anything like exercise, other than just frequent pottering around the house walks and short walks outside.
Followup appointments don't usually happen right away if at all, it might have to be something you visit your GP for, many of us are promised a follow up appointment after an op only to find it never happens. The gynaes are just too busy, and will probably have long forgotten your op by then anyway.