Gynaecologist, Laparoscopic Surgeon
Generally we would expect at least 24-36 months of symptom relief before thinking about repeat excision of disease if it has reformed. 4 months is definitely too short if it was completely excised. Sometimes this may not have been the case as endometriosis can be quite subtle in it's appearance on occasion. In my practice for someone who is not trying to conceive immediately, we would always use the oral contraceptive or a Mirena IUD following excision of endometriosis to try and stop this recurrence of pain you seem to be experiencing.
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