Endometriosis
It depends on whether the patient wants to get pregnant or not. In the first case, the patient should NOT be administered any medication following the surgical procedure. If she has no plans of getting pregnant in the near future, all treatments (injections, contraceptives, etc.) have a similar effectiveness.
It may be that the pain is due to causes other than endometriosis, therefore these causes should be treated; or that the endometriosis was not completely removed during the first procedure for a number of reasons.
The first total laparoscopic radical hysterectomy, with complete lymph node dissection, was performed in Greece in 2004 by Dr. G. Hilaris and his team.
Women of reproductive age that may develop gynecologic cancers... also have to cope with the prospect of not being able to bear children.
Laparotomy is still considered a reliable and trustworthy procedure for a trained surgeon to perform whenever deemed clinically necessary.