I've had period pain since I was 15 and each year the pain only gets worse. When I became 18, the pain became crippling. The pain will start mildly a week or two before I start my period. Then when I start my period the pain intensifies. I find it hard to walk, I feel like I have a fever then have an episode of constipation or diarrhea. Then once I sweat myself cold, I'm exhausted and fall asleep for a few hours. Then the pain becomes lighter.I brought this to the attention on my GP and have been given Naproxen and Co-codamol for pain relief. I saw a specialist and have been to also take tranexamic acid to reduce bleeding.
I had an ultrasound to check for endometriosis and no signs were found. I know the gold standard to check for endometriosis is a laparoscopy.
Should I go ahead with surgery for a diagnosis? If I choose not to have surgery and I do have endometriosis, am I at risk to any harm? Will not having surgery affect fertility?