You may want to get off the provera and try natural progesterone (100-200 mg troches or Prometrium in capsules) along with estradiol. It's working for me! Reeds' Compounding Pharmacy (reedsrx.com) in Tucson helps a lot with education and advised me on the dose to put endo in remission (200 mg daily).

Thank you Judith. I do take estradiol & provera 2.5 mg for many years to help with the endo. I believe it did help me because when I stopped on my own I started to get bad pains & the gyn told me not to ever do that again so I continued on with it. It did not help with the adhesions cause that is why I had some removed last Sept. I'm 66 & wondering do I have to take this the rest of my life. Thanks for the endo. I'm already dealing with 8 doctors so that is part of my stress & plus they are taking all my time. I do nothing but go to doctors.

Yes. I've been on about everything. Prozac will help clinical depression but I found that if it's really from not being on natural progesterone. If it's not from having your hormones balanced it's not very effective. Trazodone makes you very sleepy and you might get some sleep but having your hormones balanced is a better solution and gets better quality sleep. I have been referred to a reproductive endocrinologist who specializes in endometriosis (also infertility) and is quite an expert in minimally invasive surgery using robotics. I found that there are no dedicated endometriosis specialists in Arizona for patients as complex as I am. The gynecologic oncologist that I saw two weeks ago said that unless you were on progestin or progesterone suppression of endometriosis it is just going to continue to grow and that's why the adhesions along with unnecessary surgeries become so bad. So I would advise finding someone that you can trust who has a documented clinical expertise in endocrinology. I've had many years of experience of failures include including surgical failures. Most GYN endocrinologists do not balance hormones for endometriosis unless you are a woman with infertility trying to get pregnant because it doesn't pay very much. A new changes are about to happen and Medicare is mandating results based care. As a result we might see less elective surgeries that are not really necessary when hormone management might accomplish the same end or better and not create lots of pelvic adhesions.